| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $40.74 | $40.74 | $40.74 |
Aetna
| Professional | $58.88 | $66.07 | $83.18 | |
Aetna
| Professional | 26 | $39.81 | $44.67 | $57.54 |
CareFirst
| Professional | $24.55 | $67.61 | $309.03 | |
CareFirst
| Professional | 26 | $48.98 | $50.12 | $60.26 |
Cigna
| Professional | $70.79 | $102.33 | $316.23 | |
Cigna
| Professional | 26 | $51.29 | $69.18 | $218.78 |
Kaiser Permanente
| Professional | $66.07 | $70.79 | $147.91 | |
Kaiser Permanente
| Professional | 26 | $44.67 | $46.77 | $97.72 |
United
| Professional | $58.88 | $120.23 | $186.21 | |
United
| Professional | 26 | $40.74 | $83.18 | $125.89 |