| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $3,640.00 | $9,030.00 | $16,846.00 | |
Cigna
| Professional | $2,718.42 | $2,873.16 | $3,442.37 | |
Kaiser Permanente
| Professional | $393.93 | $638.07 | $801.00 | |
Lucent Health
| Facility | $733.96 | $2,000.00 | $5,261.45 | |
Lucent Health
| Professional | $4,273.00 | $4,273.00 | $4,273.00 | |
Providence
| Facility | $550.03 | $747.99 | $1,352.72 |