| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $2,115.00 | $4,576.00 | $9,589.00 | |
Cigna
| Professional | $283.20 | $283.20 | $408.44 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $1,619.00 | |
Lucent Health
| Facility | $449.10 | $11,500.00 | $12,000.00 | |
Lucent Health
| Professional | $1,428.00 | $1,428.00 | $1,428.00 |