| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareFirst
| Professional | $19.80 | $88.52 | $193.72 | |
Cigna
| Facility | $1.18 | $1.18 | $1.18 | |
Cigna
| Professional | $13.19 | $18.17 | $22.72 | |
Kaiser Permanente
| Professional | $58.70 | $58.70 | $58.70 | |
United
| Professional | $11.92 | $26.00 | $26.00 |