| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $32.79 | $113.46 | $316.57 |
Aetna
| Professional | $256.89 | $280.95 | $280.95 | |
CareFirst
| Professional | $358.35 | $390.60 | $1,100.21 | |
Cigna
| Professional | $251.63 | $435.70 | $1,448.03 | |
Kaiser Permanente
| Professional | $298.81 | $673.29 | $673.29 | |
Kaiser Permanente
| Professional | 26 | $36.95 | $80.54 | $80.54 |
United
| Professional | $259.85 | $351.51 | $1,007.17 |