| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $24.36 | $102.98 | $205.02 |
Aetna
| Professional | $108.27 | $126.06 | $126.06 | |
CareFirst
| Professional | $122.36 | $140.93 | $318.60 | |
Cigna
| Professional | $100.10 | $152.35 | $559.47 | |
Kaiser Permanente
| Professional | $134.36 | $304.72 | $304.72 | |
Kaiser Permanente
| Professional | 26 | $27.41 | $60.35 | $60.35 |
United
| Professional | $87.75 | $141.77 | $386.12 |