| 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 | $2,609.52 | $2,758.06 | $3,304.47 | |
Kaiser Permanente
| Professional | $393.93 | $801.00 | $1,843.00 | |
Lucent Health
| Facility | $1,527.81 | $2,537.96 | $16,394.00 | |
Lucent Health
| Professional | $3,225.29 | $3,225.29 | $3,225.29 | |
Providence
| Facility | $702.85 | $903.39 | $1,189.64 |