| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareFirst
| Professional | $46.77 | $83.18 | $173.78 | |
Cigna
| Facility | $1.17 | $1.17 | $1.17 | |
Cigna
| Professional | $13.18 | $23.99 | $30.20 | |
Kaiser Permanente
| Professional | $51.29 | $51.29 | $51.29 | |
United
| Professional | $11.22 | $17.78 | $36.31 |