| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Blue Shield
| Facility | $61.66 | $89.13 | $100.00 | |
Cigna
| Facility | $9,772.37 | $11,748.98 | $19,054.61 | |
Kaiser Permanente
| Facility | $117.49 | $194.98 | $316.23 | |
Providence
| Facility | $9,772.37 | $16,595.87 | $19,054.61 |