| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $117.49 | $275.42 | $891.25 |
Cigna
| Facility | 26 | $36.31 | $169.82 | $245.47 |
Kaiser Permanente
| Professional | 26 | $144.54 | $177.83 | $223.87 |
Medcost
| Professional | 26 | $208.93 | $257.04 | $346.74 |