| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $2,456.00 | $5,944.00 | $11,994.00 | |
Cigna
| Professional | $2,888.64 | $2,888.64 | $4,166.06 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $1,619.00 | |
Lucent Health
| Facility | $55.00 | $4,449.00 | $6,610.74 | |
Lucent Health
| Professional | $12,098.52 | $12,098.52 | $12,098.52 |