| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $1,500.00 | $4,316.00 | $9,244.00 | |
Cigna
| Professional | $254.31 | $611.20 | $732.29 | |
Kaiser Permanente
| Professional | $165.38 | $283.26 | $801.00 | |
Lucent Health
| Facility | $453.40 | $7,738.55 | $26,542.00 | |
Lucent Health
| Professional | $1,708.00 | $1,869.58 | $1,869.58 | |
Providence
| Facility | $179.50 | $245.28 | $775.20 |