| 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 | $1,858.11 | $1,963.88 | $2,352.94 | |
Kaiser Permanente
| Professional | $393.93 | $638.07 | $801.00 | |
Lucent Health
| Facility | $55.00 | $1,383.46 | $3,362.83 | |
Lucent Health
| Professional | $9,087.00 | $9,087.00 | $9,087.00 | |
Providence
| Facility | $577.46 | $723.08 | $2,453.91 |