| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $10,900.00 | $13,875.00 | $15,752.00 | |
Cigna
| Professional | $2,999.29 | $3,593.49 | $4,326.67 | |
Kaiser Permanente
| Professional | $525.00 | $1,397.54 | $3,513.26 | |
Medcost
| Professional | $1,102.48 | $1,267.00 | $1,664.00 |