| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Blue Shield
| Facility | $72.44 | $91.20 | $100.00 | |
Cigna
| Facility | $25,118.86 | $25,118.86 | $40,738.03 | |
Kaiser Permanente
| Facility | $141.25 | $213.80 | $19,054.61 | |
Providence
| Facility | $25,118.86 | $25,118.86 | $40,738.03 | |
United
| Facility | $5,370.32 | $23,442.29 | $63,095.73 |