| 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 | $528.45 | $1,270.05 | $1,521.66 | |
Kaiser Permanente
| Professional | $225.00 | $300.00 | $801.00 | |
Lucent Health
| Facility | $900.08 | $7,738.55 | $12,000.00 | |
Lucent Health
| Professional | $2,018.00 | $2,056.65 | $2,056.65 |