| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareFirst
| Professional | $16.20 | $16.20 | $16.20 | |
Cigna
| Facility | $1.18 | $1.18 | $1.18 | |
Cigna
| Professional | $9.09 | $11.36 | $13.19 | |
Kaiser Permanente
| Professional | $58.70 | $58.70 | $58.70 | |
United
| Professional | $11.11 | $13.24 | $26.00 |