| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $3,222.00 | $7,270.00 | $14,103.00 | |
Cigna
| Professional | $769.50 | $769.50 | $961.88 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $393.93 | |
Lucent Health
| Facility | $1,160.80 | $61,755.25 | $61,755.25 | |
Lucent Health
| Professional | $2,225.30 | $2,225.30 | $2,225.30 |