| 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 | $2,441.17 | $2,441.17 | $3,520.73 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $1,619.00 | |
Lucent Health
| Facility | $55.00 | $3,033.00 | $5,694.18 | |
Lucent Health
| Professional | $8,992.00 | $8,992.00 | $8,992.00 |