| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $33.88 | $67.61 | $158.49 |
Cigna
| Facility | 26 | $9.55 | $44.67 | $63.10 |
Kaiser Permanente
| Professional | 26 | $36.31 | $44.67 | $57.54 |
Medcost
| Professional | 26 | $38.02 | $47.86 | $83.18 |