| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $47.86 | $239.88 | $346.74 |
Aetna
| Professional | $151.36 | $181.97 | $1,023.29 | |
CareFirst
| Professional | $77.62 | $954.99 | $1,318.26 | |
Cigna
| Professional | $190.55 | $562.34 | $1,071.52 | |
Kaiser Permanente
| Professional | $234.42 | $269.15 | $501.19 | |
Kaiser Permanente
| Professional | 26 | $56.23 | $64.57 | $120.23 |
United
| Professional | $223.87 | $281.84 | $758.58 |