| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $2,415.00 | $9,596.00 | $18,903.00 | |
Cigna
| Professional | $1,798.89 | $4,323.34 | $5,179.85 | |
Kaiser Permanente
| Professional | $257.77 | $638.07 | $801.00 | |
Lucent Health
| Facility | $55.00 | $2,891.04 | $4,222.77 | |
Lucent Health
| Professional | $5,494.34 | $5,494.34 | $5,494.34 | |
Providence
| Facility | $1,150.94 | $1,440.00 | $1,851.02 |