| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $2,275.00 | $5,944.00 | $11,994.00 | |
Cigna
| Professional | $430.50 | $430.50 | $538.13 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $393.93 | |
Lucent Health
| Facility | $921.14 | $16,175.90 | $16,175.90 | |
Lucent Health
| Professional | $1,767.29 | $1,767.29 | $1,767.29 |