| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $2,424.00 | $5,944.00 | $11,994.00 | |
Cigna
| Professional | $147.83 | $147.83 | $213.20 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $1,619.00 | |
Lucent Health
| Facility | $55.00 | $90.00 | $430.80 | |
Lucent Health
| Professional | $760.58 | $760.58 | $760.58 | |
Providence
| Facility | $135.91 | $151.90 | $226.13 |