| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $1,047.13 | $1,122.02 | $1,479.11 | |
Cigna
| Facility | $2,818.38 | $2,818.38 | $2,818.38 | |
Kaiser Permanente
| Facility | $102.33 | $120.23 | $151.36 | |
Providence
| Facility | $2,818.38 | $2,818.38 | $2,818.38 |