| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $20.98 | $38.33 | $92.05 |
Cigna
| Facility | 26 | $26.68 | $26.68 | $26.68 |
Kaiser Permanente
| Professional | 26 | $20.76 | $25.64 | $31.46 |
Medcost
| Facility | 26 | $33.00 | $37.49 | $77.40 |