| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $3,222.00 | $7,270.00 | $14,103.00 | |
Cigna
| Professional | $777.67 | $777.67 | $1,121.57 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $1,619.00 | |
Lucent Health
| Facility | $55.00 | $1,118.43 | $7,150.00 | |
Lucent Health
| Professional | $2,404.40 | $3,130.64 | $3,130.64 |