| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $1,659.59 | $1,819.70 | $2,398.83 | |
Cigna
| Facility | $4,570.88 | $4,570.88 | $4,570.88 | |
Kaiser Permanente
| Facility | $102.33 | $120.23 | $151.36 | |
Providence
| Facility | $4,570.88 | $4,570.88 | $4,570.88 |