| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.00 | $2.94 | $2.94 | |
CareFirst
| Professional | $10.00 | $10.00 | $10.00 | |
Cigna
| Professional | $10.81 | $10.81 | $10.81 | |
Kaiser Permanente
| Professional | $19.00 | $22.00 | $22.00 | |
Wellpoint
| Professional | $10.00 | $10.00 | $10.00 |