| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $26.20 | $37.02 | $116.77 |
Cigna
| Facility | 26 | $26.16 | $26.16 | $26.16 |
Kaiser Permanente
| Professional | 26 | $21.77 | $26.12 | $51.92 |
Medcost
| Facility | 26 | $45.98 | $55.47 | $90.04 |