| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $235.71 | $404.18 | $971.42 |
Cigna
| Facility | 26 | $298.81 | $298.81 | $298.81 |
Kaiser Permanente
| Professional | 26 | $260.66 | $341.90 | $376.97 |
Medcost
| Facility | 26 | $319.00 | $357.47 | $776.53 |