| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.13 | $1.13 | $1.13 | |
CareFirst
| Professional | $2.27 | $2.27 | $2.27 | |
Cigna
| Professional | $1.74 | $1.74 | $1.74 | |
Kaiser Permanente
| Professional | $5.00 | $5.00 | $5.00 | |
Wellpoint
| Professional | $1.87 | $1.87 | $1.87 |