| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $3,108.00 | $7,270.00 | $14,103.00 | |
Cigna
| Professional | $175.88 | $175.88 | $219.84 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $393.93 | |
Lucent Health
| Facility | $747.98 | $20,243.40 | $20,243.40 | |
Lucent Health
| Professional | $1,434.97 | $1,434.97 | $1,434.97 |