| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $82.41 | $150.61 | $356.82 |
Cigna
| Facility | 26 | $106.76 | $106.76 | $106.76 |
Kaiser Permanente
| Professional | 26 | $88.09 | $103.26 | $130.37 |
Medcost
| Facility | 26 | $131.00 | $145.74 | $262.24 |