| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $84.14 | $203.61 | $228.38 |
Aetna
| Professional | $154.91 | $156.72 | $224.37 | |
CareFirst
| Professional | $182.89 | $183.09 | $318.58 | |
Cigna
| Professional | $174.24 | $287.58 | $671.10 | |
Kaiser Permanente
| Professional | $153.27 | $181.39 | $374.57 | |
Kaiser Permanente
| Professional | 26 | $83.37 | $95.04 | $197.98 |
United
| Professional | $127.71 | $206.03 | $442.57 |