| 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 | $42.20 | $53.44 | $217.20 | |
Kaiser Permanente
| Professional | $393.93 | $638.07 | $801.00 | |
Lucent Health
| Facility | $55.00 | $90.00 | $205.75 | |
Lucent Health
| Professional | $93.35 | $186.27 | $198.55 | |
Providence
| Facility | $12.76 | $36.70 | $73.48 |