| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $245.05 | $507.25 | $801.31 | |
Cigna
| Professional | $264.66 | $317.08 | $318.17 | |
Kaiser Permanente
| Professional | $195.57 | $1,044.00 | $1,141.00 | |
Medcost
| Facility | $103.00 | $129.00 | $452.79 | |
Medcost
| Professional | $143.01 | $477.26 | $746.00 |