| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $219.69 | $219.69 | $219.69 |
Aetna
| Professional | $257.68 | $267.73 | $280.88 | |
CareFirst
| Professional | $272.29 | $289.01 | $1,282.51 | |
Cigna
| Professional | $291.89 | $520.55 | $1,143.55 | |
Kaiser Permanente
| Professional | $258.62 | $298.97 | $622.98 | |
Kaiser Permanente
| Professional | 26 | $215.24 | $245.38 | $510.90 |
United
| Professional | $233.26 | $402.00 | $768.68 |