| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $11.35 | $20.70 | $48.89 |
Cigna
| Facility | 26 | $15.01 | $15.01 | $15.01 |
Kaiser Permanente
| Professional | 26 | $12.10 | $14.94 | $17.79 |
Medcost
| Facility | 26 | $20.13 | $23.00 | $39.44 |