| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $69.88 | $309.91 | $603.80 |
Aetna
| Professional | $216.75 | $251.90 | $430.31 | |
CareFirst
| Professional | $252.28 | $292.61 | $462.57 | |
Cigna
| Professional | $186.88 | $279.27 | $844.57 | |
Kaiser Permanente
| Professional | $264.83 | $317.23 | $617.78 | |
Kaiser Permanente
| Professional | 26 | $78.41 | $90.76 | $173.41 |
United
| Professional | $205.74 | $395.42 | $850.38 |