| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $32.99 | $140.11 | $240.30 |
Aetna
| Professional | $84.80 | $91.25 | $163.65 | |
CareFirst
| Professional | $119.87 | $122.27 | $201.75 | |
Cigna
| Professional | $82.27 | $123.36 | $283.85 | |
Kaiser Permanente
| Professional | $100.18 | $105.45 | $222.99 | |
Kaiser Permanente
| Professional | 26 | $37.54 | $39.52 | $82.65 |
United
| Professional | $82.82 | $105.90 | $282.55 |