| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $165.96 | $177.83 | $234.42 | |
Cigna
| Facility | $457.09 | $457.09 | $457.09 | |
Kaiser Permanente
| Facility | $102.33 | $120.23 | $151.36 | |
Providence
| Facility | $457.09 | $457.09 | $457.09 |