| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $85.66 | $85.66 | $85.66 |
Aetna
| Professional | $311.77 | $353.22 | $835.54 | |
CareFirst
| Professional | $588.67 | $605.33 | $768.77 | |
Cigna
| Professional | $299.07 | $492.30 | $929.29 | |
Kaiser Permanente
| Professional | $352.16 | $415.55 | $665.85 | |
Kaiser Permanente
| Professional | 26 | $99.30 | $116.20 | $163.76 |
United
| Professional | $328.17 | $468.82 | $968.67 | |
Wellpoint
| Professional | $282.83 | $384.77 | $500.20 |