| 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 | $1,448.28 | $3,480.72 | $4,170.30 | |
Kaiser Permanente
| Professional | $257.77 | $638.07 | $801.00 | |
Lucent Health
| Facility | $2,190.71 | $3,775.00 | $13,851.75 | |
Lucent Health
| Professional | $4,563.45 | $4,727.72 | $4,727.72 | |
Sutter Health Plus
| Professional | $2,982.74 | $2,982.74 | $2,982.74 |