| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $3,108.00 | $7,270.00 | $13,998.00 | |
Cigna
| Professional | $2,070.46 | $2,621.86 | $3,750.93 | |
Kaiser Permanente
| Professional | $393.93 | $638.07 | $801.00 | |
Lucent Health
| Facility | $1,353.37 | $4,416.13 | $26,542.00 | |
Lucent Health
| Professional | $3,870.00 | $3,870.00 | $3,870.00 | |
Providence
| Facility | $696.96 | $859.40 | $1,092.65 |