| 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 | $2,586.75 | $6,216.84 | $7,448.48 | |
Kaiser Permanente
| Professional | $257.77 | $638.07 | $801.00 | |
Lucent Health
| Facility | $55.00 | $4,353.93 | $6,084.33 | |
Lucent Health
| Professional | $8,423.81 | $8,423.81 | $8,423.81 | |
Sutter Health Plus
| Professional | $5,400.36 | $5,400.36 | $5,400.36 |