| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $4,644.00 | $11,723.00 | $22,417.00 | |
Cigna
| Professional | $2,010.16 | $2,010.16 | $2,408.40 | |
Kaiser Permanente
| Professional | $90.00 | $393.93 | $801.00 | |
Lucent Health
| Facility | $2,691.00 | $4,470.06 | $4,604.16 | |
Lucent Health
| Professional | $5,166.74 | $5,166.74 | $5,166.74 |