| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $26.30 | $28.18 | $37.15 | |
Cigna
| Facility | $70.79 | $70.79 | $70.79 | |
Kaiser Permanente
| Facility | $102.33 | $120.23 | $151.36 | |
Providence
| Facility | $70.79 | $70.79 | $70.79 |