| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $19.68 | $35.82 | $84.76 |
Cigna
| Facility | 26 | $25.18 | $25.18 | $25.18 |
Kaiser Permanente
| Professional | 26 | $19.50 | $24.09 | $29.52 |
Medcost
| Facility | 26 | $32.00 | $34.79 | $68.38 |