| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $45.71 | $218.78 | $338.84 |
Aetna
| Professional | $97.72 | $114.82 | $275.42 | |
CareFirst
| Professional | $58.88 | $125.89 | $1,949.84 | |
Cigna
| Professional | $102.33 | $239.88 | $602.56 | |
Kaiser Permanente
| Professional | $120.23 | $128.82 | $269.15 | |
Kaiser Permanente
| Professional | 26 | $53.70 | $56.23 | $114.82 |
United
| Professional | $123.03 | $218.78 | $354.81 |