| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $48.98 | $97.72 | $371.54 |
Cigna
| Facility | 26 | $13.49 | $63.10 | $91.20 |
Kaiser Permanente
| Professional | 26 | $53.70 | $66.07 | $83.18 |
Medcost
| Professional | 26 | $81.28 | $102.33 | $123.03 |