| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $357.00 | $1,301.00 | $2,178.00 | |
Cigna
| Facility | $7,350.00 | $7,350.00 | $7,350.00 | |
HealthNet
| Facility | $2,302.50 | $2,302.50 | $2,302.50 | |
Kaiser Permanente
| Facility | $118.50 | $195.00 | $315.00 |