| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $46.85 | $219.63 | $425.40 |
Aetna
| Professional | $100.99 | $107.74 | $207.31 | |
CareFirst
| Professional | $147.36 | $154.26 | $1,148.99 | |
Cigna
| Professional | $101.41 | $320.77 | $635.74 | |
Kaiser Permanente
| Professional | $120.42 | $139.44 | $265.19 | |
Kaiser Permanente
| Professional | 26 | $53.40 | $61.83 | $115.99 |
United
| Professional | $138.43 | $248.66 | $353.78 |