| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $162.18 | $173.78 | $229.09 | |
Cigna
| Facility | $446.68 | $446.68 | $446.68 | |
Kaiser Permanente
| Facility | $102.33 | $120.23 | $151.36 | |
Providence
| Facility | $446.68 | $446.68 | $446.68 |