| 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 | $1,585.68 | $1,899.83 | $2,287.44 | |
Kaiser Permanente
| Professional | $525.00 | $844.52 | $1,823.99 | |
Medcost
| Professional | $593.00 | $659.00 | $924.00 |