| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $3,222.00 | $7,270.00 | $14,103.00 | |
Cigna
| Professional | $1,054.64 | $1,054.64 | $1,521.02 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $1,619.00 | |
Lucent Health
| Facility | $55.00 | $1,540.87 | $2,812.02 | |
Lucent Health
| Professional | $4,309.00 | $4,309.00 | $4,309.00 | |
Providence
| Facility | $917.18 | $1,098.00 | $1,687.84 |