| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $53.53 | $55.55 | $69.69 | |
Cigna
| Professional | $96.11 | $166.36 | $274.00 | |
Kaiser Permanente
| Professional | $52.22 | $77.00 | $80.30 | |
Medcost
| Facility | $14.42 | $14.95 | $66.37 | |
Medcost
| Professional | $17.00 | $20.00 | $81.84 |