| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $125.00 | $384.47 | $738.46 |
Aetna
| Professional | 26 | $125.00 | $125.00 | $125.00 |
CareFirst
| Professional | 26 | $90.27 | $93.99 | $102.45 |
Cigna
| Professional | 26 | $69.87 | $150.91 | $405.24 |
Kaiser Permanente
| Professional | 26 | $82.97 | $183.49 | $183.49 |
United
| Professional | 26 | $70.50 | $116.82 | $273.41 |