| 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 | $308.12 | $308.12 | $444.38 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $1,619.00 | |
Lucent Health
| Facility | $55.00 | $461.52 | $1,300.00 | |
Lucent Health
| Professional | $2,154.00 | $2,154.00 | $2,154.00 | |
Providence
| Facility | $267.70 | $338.94 | $630.00 |