| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $4,446.00 | $9,899.00 | $20,248.00 | |
Cigna
| Professional | $2,826.34 | $2,826.34 | $4,076.21 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $1,619.00 | |
Lucent Health
| Facility | $55.00 | $3,885.30 | $6,533.64 | |
Lucent Health
| Professional | $12,122.00 | $12,122.00 | $12,122.00 | |
Sutter Health Plus
| Professional | $5,924.67 | $5,924.67 | $5,924.67 |