| 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 | $1,501.46 | $1,901.32 | $2,889.04 | |
Kaiser Permanente
| Professional | $393.93 | $638.07 | $801.00 | |
Lucent Health
| Facility | $977.34 | $7,795.35 | $16,394.00 | |
Lucent Health
| Professional | $2,955.00 | $2,955.00 | $2,955.00 | |
Providence
| Facility | $529.55 | $643.02 | $839.57 |