| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $48.32 | $48.33 | $68.84 |
Aetna
| Professional | $104.36 | $133.91 | $587.27 | |
CareFirst
| Professional | $118.77 | $134.46 | $153.68 | |
Cigna
| Professional | $91.91 | $142.58 | $259.04 | |
Kaiser Permanente
| Professional | $116.64 | $144.80 | $248.00 | |
Kaiser Permanente
| Professional | 26 | $55.89 | $67.06 | $111.60 |
United
| Professional | $100.36 | $121.49 | $241.87 | |
Wellpoint
| Professional | $100.47 | $134.13 | $167.30 |