| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $2,143.00 | $6,945.00 | $13,707.00 | |
Cigna
| Professional | $438.96 | $1,054.97 | $1,263.97 | |
Kaiser Permanente
| Professional | $257.77 | $638.07 | $801.00 | |
Lucent Health
| Facility | $712.78 | $9,561.75 | $26,542.00 | |
Lucent Health
| Professional | $3,619.00 | $3,619.00 | $3,619.00 |