| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $4,208.00 | $9,816.00 | $18,150.00 | |
Cigna
| Professional | $1,348.03 | $1,348.03 | $1,944.16 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $1,619.00 | |
Lucent Health
| Facility | $55.00 | $1,314.00 | $3,658.83 | |
Lucent Health
| Professional | $4,286.49 | $5,352.35 | $5,352.35 | |
Providence
| Facility | $933.96 | $1,195.81 | $1,627.39 |