| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $8,525.00 | $11,065.00 | $12,418.00 | |
Cigna
| Professional | $2,522.51 | $3,022.26 | $3,638.88 | |
Kaiser Permanente
| Professional | $525.00 | $1,257.17 | $2,938.13 | |
Medcost
| Professional | $916.00 | $1,062.00 | $1,483.00 |