| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $5,343.00 | $12,478.00 | $22,898.00 | |
Cigna
| Professional | $2,709.09 | $2,709.09 | $3,907.11 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $1,619.00 | |
Lucent Health
| Facility | $55.00 | $3,932.96 | $6,773.97 | |
Lucent Health
| Professional | $12,919.80 | $12,919.80 | $12,919.80 |