| 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 | $838.84 | $2,016.01 | $2,415.41 | |
Kaiser Permanente
| Professional | $257.77 | $638.07 | $801.00 | |
Lucent Health
| Facility | $1,325.93 | $5,811.00 | $26,542.00 | |
Lucent Health
| Professional | $2,562.42 | $2,562.42 | $2,562.42 | |
Providence
| Facility | $551.25 | $698.73 | $989.92 |