| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $7.41 | $7.41 | $7.41 |
Aetna
| Professional | $64.57 | $81.28 | $199.53 | |
CareFirst
| Professional | $8.32 | $83.18 | $93.33 | |
Cigna
| Professional | $66.07 | $95.50 | $165.96 | |
Kaiser Permanente
| Professional | $81.28 | $97.72 | $173.78 | |
Kaiser Permanente
| Professional | 26 | $8.51 | $10.00 | $18.62 |
United
| Professional | $66.07 | $83.18 | $169.82 | |
Wellpoint
| Professional | $72.44 | $97.72 | $134.90 |