| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $203.55 | $203.55 | $203.55 | |
Cigna
| Professional | $0.02 | $0.02 | $0.02 | |
Kaiser Permanente
| Professional | $2,642.00 | $2,642.00 | $2,642.00 | |
Medcost
| Facility | $6.76 | $18.11 | $18.11 | |
Medcost
| Professional | $10.00 | $10.00 | $10.00 |