| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $4,204.00 | $9,816.00 | $18,150.00 | |
Cigna
| Professional | $1,803.42 | $1,803.42 | $2,600.92 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $1,619.00 | |
Lucent Health
| Facility | $1,180.49 | $2,000.00 | $4,253.85 | |
Lucent Health
| Professional | $5,897.00 | $5,897.00 | $5,897.00 |