| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $93.71 | $117.21 | $479.39 |
Cigna
| Facility | 26 | $114.78 | $114.78 | $114.78 |
Kaiser Permanente
| Professional | 26 | $90.24 | $114.66 | $141.53 |
Medcost
| Facility | 26 | $116.73 | $131.00 | $275.76 |