| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $44.67 | $48.98 | $63.10 | |
Cigna
| Facility | $123.03 | $123.03 | $123.03 | |
Kaiser Permanente
| Facility | $102.33 | $120.23 | $151.36 | |
Providence
| Facility | $123.03 | $123.03 | $123.03 |