| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $48.90 | $238.74 | $457.38 |
Aetna
| Professional | $189.69 | $205.90 | $205.90 | |
CareFirst
| Professional | $252.57 | $335.92 | $1,207.44 | |
Cigna
| Professional | $189.20 | $560.66 | $1,059.58 | |
Kaiser Permanente
| Professional | $224.67 | $501.95 | $501.95 | |
Kaiser Permanente
| Professional | 26 | $55.11 | $120.54 | $120.54 |
United
| Professional | $221.66 | $264.26 | $750.87 |