| 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 | $3,036.34 | $3,637.88 | $4,380.10 | |
Kaiser Permanente
| Professional | $525.00 | $1,519.83 | $3,556.36 | |
Medcost
| Professional | $1,108.00 | $1,284.00 | $1,791.00 |