| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $759.59 | $759.59 | $991.91 | |
Cigna
| Professional | $694.24 | $879.12 | $3,904.46 | |
Kaiser Permanente
| Professional | $1,427.25 | $1,427.25 | $3,299.18 | |
Medcost
| Facility | $228.50 | $898.49 | $1,369.12 | |
Medcost
| Professional | $1,018.00 | $1,226.00 | $2,039.00 |