| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $4,314.00 | $10,000.00 | $19,158.00 | |
Cigna
| Professional | $1,945.02 | $1,945.02 | $2,805.15 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $1,619.00 | |
Lucent Health
| Facility | $55.00 | $2,815.49 | $5,204.25 | |
Lucent Health
| Professional | $8,781.00 | $8,781.00 | $8,781.00 | |
Providence
| Facility | $1,548.84 | $1,752.61 | $2,746.76 |