| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $7.79 | $14.14 | $33.57 |
Cigna
| Facility | 26 | $10.01 | $10.01 | $10.01 |
Kaiser Permanente
| Professional | 26 | $7.85 | $9.69 | $11.69 |
Medcost
| Facility | 26 | $12.00 | $12.81 | $26.90 |