| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $3,162.28 | $3,467.37 | $4,466.84 | |
Cigna
| Facility | $8,709.64 | $8,709.64 | $8,709.64 | |
Kaiser Permanente
| Facility | $102.33 | $120.23 | $151.36 | |
Providence
| Facility | $8,709.64 | $8,709.64 | $8,709.64 |