| 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 | $3,055.46 | $3,660.78 | $4,407.68 | |
Kaiser Permanente
| Professional | $525.00 | $1,518.76 | $3,553.54 | |
Medcost
| Professional | $1,114.08 | $1,298.00 | $1,689.00 |