| 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 | $783.33 | $783.33 | $1,129.74 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $1,619.00 | |
Lucent Health
| Facility | $55.00 | $1,093.66 | $1,968.66 | |
Lucent Health
| Professional | $3,807.00 | $3,807.00 | $3,807.00 |