| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $41.71 | $41.71 | $41.71 |
Aetna
| Professional | $58.24 | $62.79 | $75.17 | |
Aetna
| Professional | 26 | $40.31 | $41.71 | $50.44 |
CareFirst
| Professional | $69.33 | $77.03 | $127.10 | |
CareFirst
| Professional | 26 | $47.32 | $52.58 | $57.31 |
Cigna
| Professional | $65.13 | $128.57 | $336.14 | |
Cigna
| Professional | 26 | $43.56 | $86.80 | $229.26 |
Kaiser Permanente
| Professional | $67.44 | $147.68 | $147.68 | |
Kaiser Permanente
| Professional | 26 | $45.10 | $98.50 | $98.50 |
United
| Professional | $51.65 | $83.39 | $187.01 | |
United
| Professional | 26 | $36.79 | $58.54 | $124.74 |