| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $1,737.80 | $1,862.09 | $2,454.71 | |
Cigna
| Facility | $5,495.41 | $5,495.41 | $5,495.41 | |
Kaiser Permanente
| Facility | $102.33 | $120.23 | $151.36 | |
Providence
| Facility | $5,495.41 | $5,495.41 | $5,495.41 |