| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $25.12 | $50.12 | $112.20 |
Cigna
| Facility | 26 | $6.76 | $31.62 | $45.71 |
Kaiser Permanente
| Professional | 26 | $25.12 | $30.90 | $39.81 |
Medcost
| Professional | 26 | $25.70 | $32.36 | $60.26 |