| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $1,136.00 | $3,595.00 | $4,100.00 | |
Cigna
| Facility | $2,315.00 | $5,315.00 | $14,971.00 | |
HealthNet
| Facility | $62,222.77 | $62,222.77 | $62,222.77 | |
Kaiser Permanente
| Facility | $118.50 | $195.00 | $315.00 | |
Providence
| Facility | $2,315.00 | $5,315.00 | $14,971.00 |