| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $36.31 | $36.31 | $41.69 |
Cigna
| Facility | 26 | $9.12 | $42.66 | $61.66 |
Kaiser Permanente
| Professional | 26 | $33.88 | $42.66 | $54.95 |
Medcost
| Professional | 26 | $47.86 | $60.26 | $77.62 |