| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $26.94 | $49.41 | $105.35 |
Cigna
| Facility | 26 | $35.40 | $35.40 | $35.40 |
Kaiser Permanente
| Professional | 26 | $27.13 | $34.46 | $42.51 |
Medcost
| Facility | 26 | $45.69 | $54.00 | $93.87 |