| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $44.67 | $89.13 | $338.84 |
Cigna
| Facility | 26 | $12.59 | $58.88 | $83.18 |
Kaiser Permanente
| Professional | 26 | $45.71 | $57.54 | $72.44 |
Medcost
| Professional | 26 | $79.43 | $100.00 | $112.20 |