| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $138.04 | $138.04 | $138.04 |
Aetna
| Professional | $177.83 | $208.93 | $478.63 | |
CareFirst
| Professional | $38.90 | $177.83 | $338.84 | |
Cigna
| Professional | $114.82 | $288.40 | $776.25 | |
Kaiser Permanente
| Professional | $229.09 | $263.03 | $426.58 | |
Kaiser Permanente
| Professional | 26 | $158.49 | $186.21 | $323.59 |
United
| Professional | $120.23 | $371.54 | $537.03 |