| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $21.88 | $23.99 | $31.62 | |
Cigna
| Facility | $60.26 | $60.26 | $60.26 | |
Kaiser Permanente
| Facility | $102.33 | $120.23 | $151.36 | |
Providence
| Facility | $60.26 | $60.26 | $60.26 |