| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $88.82 | $386.88 | $637.63 |
Aetna
| Professional | $172.02 | $244.82 | $251.87 | |
CareFirst
| Professional | $219.53 | $269.79 | $445.15 | |
Cigna
| Professional | $177.34 | $253.17 | $846.91 | |
Kaiser Permanente
| Professional | $276.88 | $291.45 | $597.57 | |
Kaiser Permanente
| Professional | 26 | $101.43 | $106.77 | $219.31 |
United
| Professional | $165.95 | $236.90 | $757.20 |