| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $7.08 | $26.92 | $56.23 |
Aetna
| Professional | $52.48 | $67.61 | $100.00 | |
CareFirst
| Professional | $10.00 | $602.56 | $933.25 | |
Cigna
| Professional | $74.13 | $131.83 | $398.11 | |
Kaiser Permanente
| Professional | $89.13 | $102.33 | $194.98 | |
Kaiser Permanente
| Professional | 26 | $8.91 | $10.47 | $19.05 |
United
| Professional | $74.13 | $102.33 | $288.40 |