| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $394.94 | $394.94 | $493.93 | |
Cigna
| Professional | $388.46 | $465.42 | $2,035.77 | |
Kaiser Permanente
| Professional | $1,658.45 | $1,658.45 | $1,658.45 | |
Medcost
| Facility | $124.07 | $346.31 | $716.40 | |
Medcost
| Professional | $517.00 | $606.00 | $887.00 |