| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $72.44 | $72.44 | $85.11 |
Cigna
| Facility | 26 | $18.62 | $87.10 | $123.03 |
Kaiser Permanente
| Professional | 26 | $69.18 | $87.10 | $112.20 |
Medcost
| Professional | 26 | $97.72 | $120.23 | $125.89 |