| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Blue Shield
| Facility | $61.66 | $89.13 | $100.00 | |
Cigna
| Facility | $1,000.00 | $3,467.37 | $10,471.29 | |
Kaiser Permanente
| Facility | $117.49 | $194.98 | $316.23 | |
Providence
| Facility | $1,148.15 | $3,467.37 | $10,232.93 |