| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $2,060.00 | $4,544.00 | $9,381.00 | |
Cigna
| Professional | $645.23 | $755.34 | $904.98 | |
Kaiser Permanente
| Professional | $393.93 | $638.07 | $801.00 | |
Lucent Health
| Facility | $420.32 | $2,000.00 | $12,000.00 | |
Lucent Health
| Professional | $1,184.94 | $1,314.24 | $1,314.24 | |
Providence
| Facility | $180.47 | $227.50 | $303.47 |