| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $87.10 | $93.33 | $109.65 | |
Cigna
| Professional | $173.78 | $288.40 | $416.87 | |
Kaiser Permanente
| Professional | $144.54 | $165.96 | $363.08 | |
Medcost
| Professional | $95.50 | $120.23 | $144.54 | |
United
| Facility | $125.89 | $125.89 | $125.89 | |
United
| Professional | $74.13 | $100.00 | $144.54 |