| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $117.49 | $154.88 | $549.54 |
Cigna
| Facility | 26 | $20.89 | $97.72 | $138.04 |
Kaiser Permanente
| Professional | 26 | $75.86 | $93.33 | $120.23 |
Medcost
| Professional | 26 | $131.83 | $165.96 | $181.97 |