| 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 | $304.16 | $304.16 | $438.66 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $1,619.00 | |
Lucent Health
| Facility | $55.00 | $472.31 | $1,697.00 | |
Lucent Health
| Professional | $1,438.25 | $1,438.25 | $1,438.25 |