| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $5,032.00 | $6,548.00 | $7,221.00 | |
Cigna
| Professional | $3,106.84 | $3,722.34 | $4,481.80 | |
Kaiser Permanente
| Professional | $525.00 | $1,591.83 | $3,723.41 | |
Medcost
| Professional | $1,159.00 | $1,320.00 | $1,829.00 |