| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $2,616.00 | $9,596.00 | $20,369.00 | |
Cigna
| Professional | $1,452.25 | $3,490.25 | $4,181.71 | |
Kaiser Permanente
| Professional | $257.77 | $638.07 | $801.00 | |
Lucent Health
| Facility | $2,421.14 | $13,851.75 | $26,542.00 | |
Lucent Health
| Professional | $6,515.27 | $6,515.27 | $6,515.27 | |
Sutter Health Plus
| Professional | $3,005.48 | $3,005.48 | $3,005.48 |