| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $2,041.74 | $2,187.76 | $2,884.03 | |
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 |