| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $15.25 | $27.74 | $65.70 |
Cigna
| Facility | 26 | $19.67 | $19.67 | $19.67 |
Kaiser Permanente
| Professional | 26 | $15.37 | $18.98 | $22.87 |
Medcost
| Facility | 26 | $19.98 | $28.56 | $56.00 |