| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $3,520.18 | $3,694.44 | $4,426.35 | |
Kaiser Permanente
| Professional | $170.00 | $170.00 | $178.00 | |
Providence
| Facility | $4,299.18 | $4,299.18 | $4,471.14 | |
Providence
| Professional | $3,783.27 | $4,299.18 | $4,299.18 |