| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $4,204.00 | $9,816.00 | $18,150.00 | |
Cigna
| Professional | $2,990.59 | $2,990.59 | $4,313.10 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $1,619.00 | |
Lucent Health
| Facility | $4,655.95 | $11,604.80 | $26,542.00 | |
Lucent Health
| Professional | $8,540.95 | $9,782.46 | $9,782.46 |