| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $53.35 | $96.17 | $229.81 |
Cigna
| Facility | 26 | $68.56 | $68.56 | $68.56 |
Kaiser Permanente
| Professional | 26 | $53.09 | $65.58 | $80.02 |
Medcost
| Facility | 26 | $86.00 | $95.52 | $196.89 |