| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $2.50 | $2.50 | $98.00 | |
Cigna
| Facility | $64.00 | $64.00 | $82.45 | |
Cigna
| Professional | $70.08 | $70.08 | $70.08 | |
Kaiser Permanente
| Professional | $98.34 | $98.34 | $100.00 |