| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $5,486.00 | $12,478.00 | $22,898.00 | |
Cigna
| Professional | $2,458.17 | $2,458.17 | $3,545.24 | |
Kaiser Permanente
| Professional | $500.00 | $4,750.00 | $17,033.14 | |
Lucent Health
| Facility | $55.00 | $4,151.72 | $6,134.82 | |
Lucent Health
| Professional | $19,602.00 | $19,602.00 | $19,602.00 | |
Sutter Health Plus
| Professional | $5,146.88 | $5,146.88 | $5,146.88 |