| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $2,143.00 | $4,576.00 | $9,589.00 | |
Cigna
| Professional | $161.41 | $161.41 | $232.81 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $1,619.00 | |
Lucent Health
| Facility | $287.27 | $3,217.55 | $16,394.00 | |
Lucent Health
| Professional | $764.40 | $913.33 | $913.33 |