| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $3,738.00 | $9,168.00 | $16,991.00 | |
Cigna
| Professional | $287.25 | $287.25 | $359.06 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $393.93 | |
Lucent Health
| Facility | $1,574.95 | $58,299.50 | $58,299.50 | |
Lucent Health
| Professional | $3,021.48 | $3,021.48 | $3,021.48 |