| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $3,630.78 | $6,165.95 | $13,489.63 | |
Cigna
| Professional | $1,318.26 | $1,778.28 | $2,290.87 | |
Kaiser Permanente
| Professional | $128.82 | $257.04 | $831.76 | |
Lucent Health
| Facility | $5,754.40 | $28,840.32 | $28,840.32 | |
Lucent Health
| Professional | $2,238.72 | $2,238.72 | $2,238.72 | |
Providence
| Facility | $446.68 | $676.08 | $1,023.29 |