| 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 | $151.80 | $364.82 | $437.09 | |
Kaiser Permanente
| Professional | $151.69 | $638.07 | $801.00 | |
Lucent Health
| Facility | $55.00 | $271.06 | $1,300.00 | |
Lucent Health
| Professional | $1,048.00 | $1,048.00 | $1,048.00 | |
Providence
| Facility | $116.66 | $155.69 | $252.00 |