| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $3,537.00 | $7,311.00 | $14,103.00 | |
Cigna
| Professional | $473.51 | $473.51 | $682.91 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $1,619.00 | |
Lucent Health
| Facility | $55.00 | $866.28 | $13,311.95 | |
Lucent Health
| Professional | $1,829.86 | $2,580.30 | $2,580.30 | |
Providence
| Facility | $345.92 | $449.69 | $667.81 |