| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $16,982.44 | $18,197.01 | $23,988.33 | |
Cigna
| Facility | $46,773.51 | $46,773.51 | $46,773.51 | |
Kaiser Permanente
| Facility | $102.33 | $120.23 | $151.36 | |
Providence
| Facility | $46,773.51 | $46,773.51 | $46,773.51 |