| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $42.78 | $42.78 | $308.80 |
Aetna
| Professional | $368.78 | $403.52 | $403.52 | |
CareFirst
| Professional | $529.23 | $547.20 | $1,072.50 | |
Cigna
| Professional | $363.23 | $658.21 | $1,741.79 | |
Kaiser Permanente
| Professional | $431.33 | $499.43 | $977.97 | |
Kaiser Permanente
| Professional | 26 | $48.23 | $55.85 | $106.21 |
United
| Professional | $377.62 | $643.10 | $1,462.95 |