| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $107.15 | $114.82 | $151.36 | |
Cigna
| Facility | $295.12 | $295.12 | $295.12 | |
Kaiser Permanente
| Facility | $102.33 | $120.23 | $151.36 | |
Providence
| Facility | $295.12 | $295.12 | $295.12 |