| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $2,570.40 | $4,466.84 | $12,882.50 | |
Cigna
| Professional | $426.58 | $457.09 | $549.54 | |
Kaiser Permanente
| Professional | $141.25 | $630.96 | $1,698.24 | |
Lucent Health
| Facility | $1,995.26 | $19,498.45 | $19,498.45 | |
Lucent Health
| Professional | $489.78 | $489.78 | $489.78 | |
Providence
| Facility | $95.50 | $128.82 | $194.98 |