| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $3,108.00 | $7,270.00 | $13,998.00 | |
Cigna
| Professional | $1,037.08 | $1,037.08 | $1,242.54 | |
Kaiser Permanente
| Professional | $393.93 | $638.07 | $801.00 | |
Providence
| Facility | $1,199.53 | $1,199.53 | $1,199.53 |