| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $25.14 | $28.91 | $108.25 |
Cigna
| Facility | 26 | $31.67 | $31.67 | $31.67 |
Kaiser Permanente
| Professional | 26 | $24.99 | $30.87 | $37.70 |
Medcost
| Facility | 26 | $24.00 | $26.13 | $74.29 |