| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $1,514.00 | $4,316.00 | $9,244.00 | |
Cigna
| Professional | $411.71 | $773.58 | $1,544.49 | |
Kaiser Permanente
| Professional | $165.38 | $393.93 | $801.00 | |
Lucent Health
| Facility | $454.39 | $2,543.25 | $12,000.00 | |
Lucent Health
| Professional | $1,350.00 | $1,460.17 | $1,460.17 | |
Providence
| Facility | $212.34 | $303.33 | $462.11 |