| 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 | $1,485.31 | $1,779.57 | $2,142.65 | |
Kaiser Permanente
| Professional | $525.00 | $731.12 | $1,707.43 | |
Medcost
| Professional | $529.99 | $614.00 | $864.00 |