| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $86.86 | $89.89 | $111.11 | |
Cigna
| Professional | $153.88 | $273.36 | $438.72 | |
Kaiser Permanente
| Professional | $98.70 | $127.00 | $137.00 | |
Medcost
| Facility | $26.59 | $29.52 | $124.43 | |
Medcost
| Professional | $33.00 | $38.00 | $132.88 |