| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $24.36 | $69.42 | $173.10 |
Aetna
| Professional | $110.26 | $131.99 | $131.99 | |
CareFirst
| Professional | $129.81 | $144.22 | $259.04 | |
Cigna
| Professional | $98.39 | $147.19 | $575.01 | |
Kaiser Permanente
| Professional | $141.66 | $321.64 | $321.64 | |
Kaiser Permanente
| Professional | 26 | $27.40 | $59.54 | $59.54 |
United
| Professional | $87.23 | $184.32 | $407.58 |