| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $4,073.80 | $4,365.16 | $5,754.40 | |
Cigna
| Facility | $11,220.18 | $11,220.18 | $11,220.18 | |
Kaiser Permanente
| Facility | $102.33 | $120.23 | $151.36 | |
Providence
| Facility | $11,220.18 | $11,220.18 | $11,220.18 |