| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $4,108.00 | $9,260.00 | $16,991.00 | |
Cigna
| Professional | $2,032.24 | $2,032.24 | $2,930.95 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $1,619.00 | |
Lucent Health
| Facility | $55.00 | $1,419.63 | $11,632.60 | |
Lucent Health
| Professional | $6,543.26 | $8,064.84 | $8,064.84 | |
Providence
| Facility | $1,439.36 | $1,840.26 | $3,498.00 |