| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $26.90 | $125.99 | $244.61 |
Aetna
| Professional | $209.73 | $229.32 | $386.04 | |
CareFirst
| Professional | $249.44 | $271.89 | $686.53 | |
Cigna
| Professional | $208.69 | $277.95 | $1,185.00 | |
Kaiser Permanente
| Professional | $247.83 | $556.15 | $556.15 | |
Kaiser Permanente
| Professional | 26 | $30.64 | $67.44 | $67.44 |
United
| Professional | $150.18 | $386.72 | $831.94 |