| 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 | $1,157.16 | $2,781.04 | $3,332.00 | |
Kaiser Permanente
| Professional | $257.77 | $638.07 | $801.00 | |
Lucent Health
| Facility | $1,749.51 | $2,800.00 | $13,851.75 | |
Lucent Health
| Professional | $3,701.47 | $3,783.07 | $3,783.07 | |
Sutter Health Plus
| Professional | $2,389.92 | $2,389.92 | $2,389.92 |