| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.49 | $57.45 | $79.28 | |
CareFirst
| Professional | $35.75 | $35.75 | $35.75 | |
Cigna
| Professional | $14.25 | $14.25 | $14.25 | |
Kaiser Permanente
| Professional | $70.00 | $84.00 | $99.00 | |
Wellpoint
| Professional | $34.00 | $35.15 | $35.15 |