| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $4,314.00 | $9,830.00 | $19,252.00 | |
Cigna
| Professional | $2,143.26 | $2,143.26 | $3,091.06 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $1,619.00 | |
Lucent Health
| Facility | $3,744.06 | $12,718.20 | $26,542.00 | |
Lucent Health
| Professional | $6,579.28 | $6,579.28 | $6,579.28 | |
Sutter Health Plus
| Professional | $4,510.33 | $4,510.33 | $4,510.33 |