| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,513.56 | $1,862.09 | $3,235.94 | |
Blue Shield
| Facility | $47.86 | $54.95 | $81.28 | |
Cigna
| Facility | $3,630.78 | $4,365.16 | $4,677.35 | |
Kaiser Permanente
| Facility | $120.23 | $194.98 | $331.13 | |
Providence
| Facility | $4,265.80 | $4,466.84 | $4,677.35 |