| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $36.31 | $43.65 | $114.82 |
Cigna
| Facility | 26 | $9.77 | $45.71 | $66.07 |
Kaiser Permanente
| Professional | 26 | $36.31 | $44.67 | $58.88 |
Medcost
| Professional | 26 | $67.61 | $85.11 | $85.11 |