| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Blue Shield
| Facility | $82.40 | $90.30 | $95.30 | |
Cigna
| Facility | $7,140.00 | $10,447.00 | $17,099.00 | |
HealthNet
| Facility | $74.48 | $118.18 | $13,525.31 | |
Kaiser Permanente
| Facility | $118.50 | $195.00 | $315.00 | |
Providence
| Facility | $7,140.00 | $17,095.00 | $19,943.00 |