| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $831.76 | $891.25 | $1,174.90 | |
Cigna
| Facility | $2,290.87 | $2,290.87 | $2,290.87 | |
Kaiser Permanente
| Facility | $102.33 | $120.23 | $151.36 | |
Providence
| Facility | $2,290.87 | $2,290.87 | $2,290.87 |