| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $19.95 | $89.13 | $144.54 |
Aetna
| Professional | $69.18 | $79.43 | $112.20 | |
CareFirst
| Professional | $23.99 | $74.13 | $194.98 | |
Cigna
| Professional | $61.66 | $104.71 | $257.04 | |
Kaiser Permanente
| Professional | $91.20 | $97.72 | $199.53 | |
Kaiser Permanente
| Professional | 26 | $24.55 | $25.70 | $50.12 |
United
| Professional | $64.57 | $109.65 | $245.47 |