| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $60.26 | $169.82 | $436.52 |
Aetna
| Professional | $109.65 | $125.89 | $223.87 | |
CareFirst
| Professional | $72.44 | $131.83 | $426.58 | |
Cigna
| Professional | $117.49 | $169.82 | $380.19 | |
Kaiser Permanente
| Professional | $141.25 | $151.36 | $309.03 | |
Kaiser Permanente
| Professional | 26 | $69.18 | $72.44 | $151.36 |
United
| Professional | $112.20 | $151.36 | $389.05 |