| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $118.59 | $171.63 | $347.16 |
Cigna
| Facility | 26 | $114.94 | $114.94 | $114.94 |
Kaiser Permanente
| Professional | 26 | $90.73 | $112.08 | $134.13 |
Medcost
| Facility | 26 | $117.09 | $182.21 | $366.24 |