| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $60.20 | $171.56 | $436.10 |
Aetna
| Professional | $116.99 | $124.71 | $153.62 | |
CareFirst
| Professional | $145.21 | $162.97 | $317.07 | |
Cigna
| Professional | $117.51 | $180.03 | $535.98 | |
Kaiser Permanente
| Professional | $139.55 | $161.58 | $308.87 | |
Kaiser Permanente
| Professional | 26 | $68.48 | $79.30 | $149.99 |
United
| Professional | $118.43 | $180.60 | $391.38 |