| 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 | $58.91 | $141.57 | $169.62 | |
Kaiser Permanente
| Professional | $257.77 | $638.07 | $801.00 | |
Lucent Health
| Facility | $55.00 | $163.13 | $1,300.00 | |
Lucent Health
| Professional | $1,570.89 | $1,570.89 | $1,570.89 | |
Providence
| Facility | $48.33 | $111.59 | $267.25 |