| 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 | $518.82 | $748.26 | $3,638.36 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $1,619.00 | |
Lucent Health
| Facility | $751.74 | $1,209.06 | $8,980.00 | |
Lucent Health
| Professional | $3,927.00 | $10,567.34 | $10,567.34 |