| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $380.19 | $380.19 | $457.09 |
Cigna
| Facility | 26 | $97.72 | $457.09 | $660.69 |
Kaiser Permanente
| Professional | 26 | $371.54 | $457.09 | $602.56 |
Medcost
| Professional | 26 | $524.81 | $660.69 | $676.08 |