| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $4,108.00 | $9,596.00 | $18,150.00 | |
Cigna
| Professional | $833.74 | $833.74 | $1,202.44 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $1,619.00 | |
Lucent Health
| Facility | $1,446.41 | $15,537.60 | $26,542.00 | |
Lucent Health
| Professional | $2,962.34 | $2,962.34 | $2,962.34 | |
Sutter Health Plus
| Professional | $1,751.19 | $1,751.19 | $1,751.19 |