| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.00 | $1.00 | $2.00 | |
CareFirst
| Professional | $2.29 | $2.29 | $2.29 | |
Cigna
| Professional | $1.74 | $1.74 | $1.74 | |
Kaiser Permanente
| Professional | $5.01 | $5.01 | $5.01 | |
Wellpoint
| Professional | $1.86 | $1.86 | $1.86 |