| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $83.18 | $204.17 | $229.09 |
Aetna
| Professional | $138.04 | $177.83 | $426.58 | |
CareFirst
| Professional | $77.62 | $181.97 | $436.52 | |
Cigna
| Professional | $177.83 | $323.59 | $707.95 | |
Kaiser Permanente
| Professional | $162.18 | $190.55 | $371.54 | |
Kaiser Permanente
| Professional | 26 | $85.11 | $97.72 | $199.53 |
United
| Professional | $141.25 | $208.93 | $380.19 |