| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $2,275.00 | $5,944.00 | $11,456.00 | |
Cigna
| Professional | $1,016.86 | $1,074.74 | $1,287.66 | |
Kaiser Permanente
| Professional | $393.93 | $638.07 | $801.00 | |
Lucent Health
| Facility | $521.78 | $6,473.90 | $16,394.00 | |
Lucent Health
| Professional | $3,635.00 | $3,635.00 | $3,635.00 | |
Providence
| Facility | $290.88 | $367.44 | $981.25 |