| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $20.71 | $89.56 | $175.70 |
Aetna
| Professional | $73.19 | $79.30 | $98.79 | |
CareFirst
| Professional | $95.87 | $107.60 | $173.96 | |
Cigna
| Professional | $62.47 | $113.68 | $339.54 | |
Kaiser Permanente
| Professional | $87.03 | $100.77 | $193.25 | |
Kaiser Permanente
| Professional | 26 | $22.93 | $26.55 | $49.70 |
United
| Professional | $63.97 | $110.41 | $254.53 |