| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $10,098.00 | $10,395.00 | $10,395.00 | |
Cigna
| Professional | $10,480.26 | $10,480.26 | $10,480.26 | |
Kaiser Permanente
| Professional | $10,070.00 | $10,098.00 | $10,098.00 |