| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $14.06 | $25.02 | $54.38 |
Cigna
| Facility | 26 | $17.75 | $17.75 | $17.75 |
Kaiser Permanente
| Professional | 26 | $13.85 | $17.10 | $21.10 |
Medcost
| Facility | 26 | $24.27 | $28.00 | $50.10 |