| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $11.63 | $11.63 | $11.63 |
Aetna
| Professional | $49.52 | $53.10 | $60.70 | |
CareFirst
| Professional | $77.08 | $77.08 | $222.96 | |
Cigna
| Professional | $55.55 | $84.00 | $226.20 | |
Kaiser Permanente
| Professional | $56.76 | $62.74 | $128.22 | |
Kaiser Permanente
| Professional | 26 | $12.56 | $13.78 | $27.44 |
United
| Professional | $45.48 | $68.93 | $153.97 |