| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $1,445.44 | $1,584.89 | $2,089.30 | |
Cigna
| Facility | $3,981.07 | $3,981.07 | $3,981.07 | |
Kaiser Permanente
| Facility | $102.33 | $120.23 | $151.36 | |
Providence
| Facility | $3,981.07 | $3,981.07 | $3,981.07 |