| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $691.83 | $758.58 | $1,000.00 | |
Cigna
| Facility | $1,905.46 | $1,905.46 | $1,905.46 | |
Kaiser Permanente
| Facility | $102.33 | $120.23 | $151.36 | |
Providence
| Facility | $1,905.46 | $1,905.46 | $1,905.46 |