| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $122.22 | $126.26 | $157.57 | |
Cigna
| Professional | $216.81 | $404.29 | $618.12 | |
Kaiser Permanente
| Professional | $146.69 | $228.00 | $228.00 | |
Medcost
| Facility | $39.47 | $44.64 | $182.06 | |
Medcost
| Professional | $48.00 | $56.00 | $187.16 |