| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareFirst
| Professional | $13.50 | $71.23 | $155.91 | |
Cigna
| Facility | $1.18 | $1.18 | $1.18 | |
Cigna
| Professional | $13.19 | $23.95 | $29.94 | |
Kaiser Permanente
| Professional | $58.70 | $58.70 | $58.70 | |
United
| Facility | $9.31 | $9.31 | $9.31 | |
United
| Professional | $11.12 | $17.71 | $45.87 |