| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Blue Shield
| Facility | $82.20 | $93.00 | $1,697.00 | |
Cigna
| Facility | $1,106.00 | $3,137.00 | $10,449.00 | |
Kaiser Permanente
| Facility | $118.50 | $195.00 | $315.00 | |
Providence
| Facility | $1,106.00 | $2,958.00 | $10,273.00 |