| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $588.84 | $1,000.00 | $1,000.00 | |
Blue Shield
| Facility | $85.11 | $85.11 | $100.00 | |
Cigna
| Facility | $588.84 | $707.95 | $1,348.96 | |
Kaiser Permanente
| Facility | $117.49 | $194.98 | $316.23 | |
Providence
| Facility | $549.54 | $676.08 | $1,318.26 |