| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $20.14 | $41.71 | $65.89 | |
Cigna
| Professional | $22.13 | $22.14 | $26.53 | |
Kaiser Permanente
| Professional | $35.75 | $107.00 | $117.00 | |
Medcost
| Facility | $4.34 | $7.00 | $65.87 | |
Medcost
| Professional | $20.50 | $51.36 | $106.00 |