| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $16.53 | $20.80 | $52.50 |
Cigna
| Facility | 26 | $15.01 | $15.01 | $15.01 |
Kaiser Permanente
| Professional | 26 | $11.76 | $14.53 | $17.53 |
Medcost
| Facility | 26 | $26.10 | $30.00 | $52.81 |