| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $46.77 | $51.29 | $66.07 | |
Cigna
| Facility | $128.82 | $128.82 | $128.82 | |
Kaiser Permanente
| Facility | $102.33 | $120.23 | $151.36 | |
Providence
| Facility | $128.82 | $128.82 | $128.82 |