| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $25.23 | $25.23 | $25.23 |
Aetna
| Professional | $146.97 | $157.94 | $157.94 | |
CareFirst
| Professional | $147.88 | $164.31 | $218.53 | |
Cigna
| Professional | $106.12 | $418.51 | $614.34 | |
Kaiser Permanente
| Professional | $151.93 | $376.48 | $376.48 | |
Kaiser Permanente
| Professional | 26 | $26.32 | $59.56 | $59.56 |
United
| Professional | $89.88 | $356.05 | $476.75 |