| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $2,143.00 | $6,375.00 | $17,743.00 | |
Cigna
| Facility | $1,300.00 | $21,694.00 | $27,118.00 | |
Kaiser Permanente
| Facility | $135.00 | $195.00 | $315.00 | |
Providence
| Facility | $1,300.00 | $1,300.00 | $27,118.00 |