| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $20.62 | $37.02 | $88.78 |
Cigna
| Facility | 26 | $26.26 | $26.26 | $26.26 |
Kaiser Permanente
| Professional | 26 | $20.77 | $25.66 | $30.92 |
Medcost
| Facility | 26 | $31.63 | $44.49 | $73.59 |