| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $18.04 | $18.04 | $18.04 |
Aetna
| Professional | $79.54 | $84.40 | $132.62 | |
CareFirst
| Professional | $80.09 | $88.98 | $118.34 | |
Cigna
| Professional | $45.40 | $223.63 | $349.61 | |
Kaiser Permanente
| Professional | $86.36 | $197.40 | $197.40 | |
Kaiser Permanente
| Professional | 26 | $19.69 | $43.36 | $43.36 |
United
| Professional | $40.47 | $121.11 | $262.05 |