| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $19.95 | $41.69 | $147.91 |
Cigna
| Facility | 26 | $5.62 | $26.30 | $38.02 |
Kaiser Permanente
| Professional | 26 | $21.88 | $26.92 | $33.88 |
Medcost
| Professional | 26 | $35.48 | $44.67 | $51.29 |