| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $4,644.00 | $11,780.00 | $21,623.00 | |
Cigna
| Professional | $822.41 | $822.41 | $1,186.09 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $1,619.00 | |
Lucent Health
| Facility | $55.00 | $55.00 | $2,218.83 | |
Lucent Health
| Professional | $3,219.89 | $4,156.21 | $4,156.21 | |
Providence
| Facility | $732.84 | $964.63 | $1,308.15 |