| 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 | $1,790.39 | $1,790.39 | $2,582.14 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $1,619.00 | |
Lucent Health
| Facility | $55.00 | $2,588.23 | $4,768.05 | |
Lucent Health
| Professional | $8,345.00 | $8,345.00 | $8,345.00 |