| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $4,786.30 | $8,511.38 | $15,848.93 | |
Cigna
| Professional | $2,511.89 | $3,467.37 | $4,365.16 | |
Kaiser Permanente
| Professional | $128.82 | $281.84 | $831.76 | |
Lucent Health
| Facility | $18,197.01 | $33,884.42 | $33,884.42 | |
Lucent Health
| Professional | $6,606.93 | $6,606.93 | $6,606.93 |