| 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 | $59.90 | $75.84 | $348.20 | |
Kaiser Permanente
| Professional | $393.93 | $638.07 | $801.00 | |
Lucent Health
| Facility | $55.00 | $90.00 | $340.85 | |
Lucent Health
| Professional | $150.94 | $295.93 | $322.23 | |
Providence
| Facility | $17.45 | $58.63 | $118.62 |