| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $74.19 | $74.19 | $537.51 |
Aetna
| Professional | $588.13 | $643.27 | $1,556.71 | |
CareFirst
| Professional | $842.83 | $885.78 | $1,319.05 | |
Cigna
| Professional | $1,195.80 | $1,688.86 | $3,604.36 | |
Kaiser Permanente
| Professional | $686.46 | $1,557.48 | $1,557.48 | |
Kaiser Permanente
| Professional | 26 | $83.61 | $184.87 | $184.87 |
United
| Professional | $617.11 | $1,062.94 | $2,329.82 |