| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $2,884.03 | $3,090.30 | $4,073.80 | |
Cigna
| Facility | $7,943.28 | $7,943.28 | $7,943.28 | |
Kaiser Permanente
| Facility | $102.33 | $120.23 | $151.36 | |
Providence
| Facility | $7,943.28 | $7,943.28 | $7,943.28 |