| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $3,908.00 | $9,168.00 | $16,991.00 | |
Cigna
| Professional | $537.51 | $775.21 | $4,277.97 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $1,619.00 | |
Lucent Health
| Facility | $901.40 | $7,130.43 | $8,980.00 | |
Lucent Health
| Professional | $4,909.00 | $11,564.19 | $11,564.19 | |
Providence
| Facility | $481.45 | $624.37 | $3,619.55 |