| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.73 | $0.73 | $0.73 | |
CareFirst
| Professional | $3.56 | $3.56 | $3.56 | |
Cigna
| Professional | $1.02 | $1.02 | $1.02 | |
Kaiser Permanente
| Professional | $12.00 | $12.00 | $12.00 | |
Wellpoint
| Professional | $2.47 | $2.47 | $2.47 |