| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareFirst
| Professional | $30.60 | $30.60 | $30.60 | |
Cigna
| Facility | $1.18 | $1.18 | $1.18 | |
Cigna
| Professional | $13.19 | $20.23 | $25.30 | |
Kaiser Permanente
| Professional | $58.70 | $58.70 | $58.70 | |
United
| Professional | $12.55 | $23.14 | $26.00 |