| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $120.23 | $128.82 | $169.82 | |
Cigna
| Facility | $323.59 | $323.59 | $323.59 | |
Kaiser Permanente
| Facility | $102.33 | $120.23 | $151.36 | |
Providence
| Facility | $323.59 | $323.59 | $323.59 |