| 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 | $313.22 | $752.77 | $901.91 | |
Kaiser Permanente
| Professional | $225.00 | $325.00 | $801.00 | |
Lucent Health
| Facility | $500.42 | $2,404.55 | $12,000.00 | |
Lucent Health
| Professional | $956.41 | $956.41 | $956.41 |