| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $7.08 | $15.49 | $54.95 |
Cigna
| Facility | 26 | $2.14 | $10.00 | $14.13 |
Kaiser Permanente
| Professional | 26 | $7.94 | $10.00 | $12.59 |
Medcost
| Professional | 26 | $12.88 | $16.22 | $19.05 |