| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $2,143.00 | $4,604.00 | $9,589.00 | |
Cigna
| Professional | $102.52 | $147.85 | $322.67 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $1,619.00 | |
Lucent Health
| Facility | $55.00 | $165.05 | $3,930.50 | |
Lucent Health
| Professional | $403.00 | $636.54 | $636.54 |