| 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 | $420.84 | $606.94 | $3,345.10 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $1,619.00 | |
Lucent Health
| Facility | $476.67 | $7,238.20 | $8,980.00 | |
Lucent Health
| Professional | $2,728.85 | $8,197.86 | $8,197.86 | |
Providence
| Facility | $313.43 | $452.25 | $2,813.48 |