| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $2,275.00 | $5,944.00 | $11,994.00 | |
Cigna
| Professional | $1,173.01 | $1,173.01 | $1,691.75 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $1,619.00 | |
Lucent Health
| Facility | $1,845.43 | $5,414.80 | $16,394.00 | |
Lucent Health
| Professional | $3,372.99 | $4,159.95 | $4,159.95 |