| 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 | $609.39 | $1,134.64 | $2,265.37 | |
Kaiser Permanente
| Professional | $225.00 | $346.50 | $801.00 | |
Lucent Health
| Facility | $674.99 | $2,404.55 | $12,000.00 | |
Lucent Health
| Professional | $2,122.00 | $2,156.94 | $2,324.05 | |
Providence
| Facility | $329.05 | $548.53 | $867.78 |