| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $2,275.00 | $5,944.00 | $11,456.00 | |
Cigna
| Professional | $635.60 | $635.60 | $761.52 | |
Kaiser Permanente
| Professional | $393.93 | $638.07 | $801.00 | |
Providence
| Facility | $749.70 | $749.70 | $749.70 |