| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $117.49 | $123.03 | $147.91 | |
Cigna
| Professional | $186.21 | $331.13 | $512.86 | |
Kaiser Permanente
| Professional | $181.97 | $204.17 | $478.63 | |
Medcost
| Professional | $114.82 | $144.54 | $169.82 | |
Medcost
| Facility | $95.50 | $147.91 | $229.09 |