| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $26.27 | $26.27 | $26.27 |
Aetna
| Professional | $162.37 | $181.45 | $184.57 | |
CareFirst
| Professional | $166.74 | $185.27 | $246.41 | |
Cigna
| Professional | $105.96 | $480.81 | $670.45 | |
Kaiser Permanente
| Professional | $166.21 | $420.83 | $420.83 | |
Kaiser Permanente
| Professional | 26 | $27.41 | $61.16 | $61.16 |
United
| Professional | $113.03 | $394.36 | $532.91 |