| 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 | $1,395.69 | $1,672.19 | $2,013.36 | |
Kaiser Permanente
| Professional | $525.00 | $685.30 | $1,594.31 | |
Medcost
| Professional | $493.24 | $576.00 | $813.00 |