| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $66.07 | $66.07 | $478.63 |
Aetna
| Professional | $144.54 | $234.42 | $389.05 | |
CareFirst
| Professional | $251.19 | $407.38 | $602.56 | |
Cigna
| Professional | $158.49 | $245.47 | $1,148.15 | |
Kaiser Permanente
| Professional | $275.42 | $316.23 | $588.84 | |
Kaiser Permanente
| Professional | 26 | $77.62 | $89.13 | $162.18 |
United
| Professional | $154.88 | $269.15 | $831.76 |