| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $2,818.00 | $12,321.00 | $25,901.00 | |
Cigna
| Professional | $1,421.66 | $3,416.74 | $4,093.64 | |
Kaiser Permanente
| Professional | $257.77 | $638.07 | $801.00 | |
Lucent Health
| Facility | $2,162.23 | $2,800.00 | $22,807.05 | |
Lucent Health
| Professional | $4,208.52 | $4,365.45 | $4,365.45 | |
Sutter Health Plus
| Professional | $2,937.10 | $2,937.10 | $2,937.10 |