| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $34.64 | $43.82 | $146.25 |
Cigna
| Facility | 26 | $44.41 | $44.41 | $44.41 |
Kaiser Permanente
| Professional | 26 | $34.92 | $43.13 | $51.96 |
Medcost
| Facility | 26 | $39.11 | $45.00 | $106.16 |