| 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 | $4,298.18 | $5,149.72 | $6,200.40 | |
Kaiser Permanente
| Professional | $525.00 | $2,010.65 | $5,043.72 | |
Medcost
| Professional | $1,585.85 | $1,828.00 | $2,389.00 |