| 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 | $741.98 | $741.98 | $1,070.10 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $1,619.00 | |
Lucent Health
| Facility | $55.00 | $1,228.90 | $4,576.84 | |
Lucent Health
| Professional | $4,363.00 | $4,363.00 | $4,363.00 |