| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $5,863.00 | $14,879.00 | $29,048.00 | |
Cigna
| Professional | $3,410.86 | $3,410.86 | $4,919.22 | |
Kaiser Permanente
| Professional | $500.00 | $4,750.00 | $17,033.14 | |
Lucent Health
| Facility | $55.00 | $3,835.02 | $8,905.14 | |
Lucent Health
| Professional | $17,046.00 | $17,046.00 | $17,046.00 | |
Providence
| Facility | $2,314.53 | $2,972.26 | $3,936.11 |