| 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 | $488.69 | $618.83 | $949.80 | |
Kaiser Permanente
| Professional | $393.93 | $638.07 | $801.00 | |
Lucent Health
| Facility | $55.00 | $357.01 | $1,300.00 | |
Lucent Health
| Professional | $1,286.00 | $1,306.17 | $1,306.17 | |
Providence
| Facility | $174.88 | $250.87 | $336.00 |