| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $2,570.40 | $4,570.88 | $12,882.50 | |
Cigna
| Professional | $95.50 | $199.53 | $478.63 | |
Kaiser Permanente
| Professional | $22.91 | $630.96 | $1,698.24 | |
Lucent Health
| Facility | $56.23 | $2,951.21 | $2,951.21 | |
Lucent Health
| Professional | $1,412.54 | $1,412.54 | $1,412.54 | |
Providence
| Facility | $50.12 | $117.49 | $218.78 |