| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $5,486.00 | $12,203.00 | $22,898.00 | |
Cigna
| Professional | $2,117.19 | $2,117.19 | $3,053.48 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $1,619.00 | |
Lucent Health
| Facility | $55.00 | $1,934.23 | $5,226.72 | |
Lucent Health
| Professional | $6,775.00 | $6,775.00 | $6,775.00 | |
Sutter Health Plus
| Professional | $4,438.30 | $4,438.30 | $4,438.30 |