| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareFirst
| Professional | $51.29 | $91.20 | $190.55 | |
Cigna
| Facility | $1.17 | $1.17 | $1.17 | |
Cigna
| Professional | $13.18 | $20.42 | $25.12 | |
Kaiser Permanente
| Professional | $51.29 | $51.29 | $51.29 | |
United
| Professional | $10.96 | $15.85 | $32.36 |