| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $8.08 | $11.52 | $27.82 |
Cigna
| Facility | 26 | $10.40 | $10.40 | $10.40 |
Kaiser Permanente
| Professional | 26 | $8.13 | $10.05 | $12.12 |
Medcost
| Facility | 26 | $10.58 | $20.49 | $28.26 |