| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $11,481.54 | $12,302.69 | $16,218.10 | |
Cigna
| Facility | $31,622.78 | $31,622.78 | $31,622.78 | |
Kaiser Permanente
| Facility | $102.33 | $120.23 | $151.36 | |
Providence
| Facility | $31,622.78 | $31,622.78 | $31,622.78 |