| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $65.98 | $65.98 | $65.98 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $393.93 | |
Providence
| Facility | $65.98 | $65.98 | $65.98 | |
Providence
| Professional | $2,250,000.00 | $2,250,000.00 | $2,250,000.00 |