| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $74.73 | $75.75 | $94.94 | |
Cigna
| Professional | $137.06 | $316.52 | $394.74 | |
Kaiser Permanente
| Professional | $175.00 | $175.00 | $175.00 | |
Medcost
| Professional | $99.00 | $104.00 | $163.00 |