| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33,113.11 | $43,651.58 | $107,151.93 | |
Anthem BCBS
| Facility | $33,884.42 | $33,884.42 | $33,884.42 | |
Cigna
| Facility | $12,589.25 | $35,481.34 | $35,481.34 | |
Kaiser Permanente
| Facility | $117.49 | $208.93 | $316.23 | |
Providence
| Facility | $12,589.25 | $12,589.25 | $35,481.34 |