| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $14.68 | $26.64 | $63.24 |
Cigna
| Facility | 26 | $18.52 | $18.52 | $18.52 |
Kaiser Permanente
| Professional | 26 | $14.78 | $18.26 | $22.02 |
Medcost
| Facility | 26 | $23.00 | $24.08 | $50.68 |