| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $23.99 | $69.18 | $173.78 |
Aetna
| Professional | $85.11 | $120.23 | $186.21 | |
CareFirst
| Professional | $114.82 | $147.91 | $346.74 | |
Cigna
| Professional | $93.33 | $125.89 | $331.13 | |
Kaiser Permanente
| Professional | $141.25 | $169.82 | $323.59 | |
Kaiser Permanente
| Professional | 26 | $28.18 | $32.36 | $58.88 |
United
| Professional | $83.18 | $154.88 | $407.38 |