| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $86.32 | $86.32 | $624.04 |
Aetna
| Professional | $233.65 | $308.17 | $308.17 | |
CareFirst
| Professional | $282.13 | $377.34 | $777.70 | |
Cigna
| Professional | $248.75 | $384.13 | $1,514.13 | |
Kaiser Permanente
| Professional | $350.92 | $767.02 | $767.02 | |
Kaiser Permanente
| Professional | 26 | $98.95 | $214.63 | $214.63 |
United
| Professional | $201.52 | $414.47 | $1,087.44 |