| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $4,897.79 | $5,370.32 | $7,079.46 | |
Cigna
| Facility | $13,489.63 | $13,489.63 | $13,489.63 | |
Kaiser Permanente
| Facility | $102.33 | $120.23 | $151.36 | |
Providence
| Facility | $13,489.63 | $13,489.63 | $13,489.63 |