| 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 | $3,781.29 | $3,781.29 | $5,453.46 | |
Kaiser Permanente
| Professional | $500.00 | $4,750.00 | $17,033.14 | |
Lucent Health
| Facility | $55.00 | $5,567.60 | $10,014.09 | |
Lucent Health
| Professional | $31,534.00 | $31,534.00 | $31,534.00 |