| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $2,424.00 | $5,944.00 | $11,994.00 | |
Cigna
| Professional | $219.75 | $219.75 | $274.69 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $393.93 | |
Lucent Health
| Facility | $538.70 | $7,384.30 | $7,384.30 | |
Lucent Health
| Professional | $1,032.78 | $1,032.78 | $1,032.78 |