| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $36.36 | $37.36 | $46.46 | |
Cigna
| Professional | $102.15 | $122.39 | $193.06 | |
Kaiser Permanente
| Professional | $152.72 | $152.72 | $152.72 | |
Medcost
| Facility | $35.33 | $67.81 | $105.54 | |
Medcost
| Professional | $73.00 | $88.00 | $124.00 |