| 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 | $2,545.40 | $2,545.40 | $3,671.04 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $1,619.00 | |
Lucent Health
| Facility | $55.00 | $4,474.64 | $6,109.92 | |
Lucent Health
| Professional | $10,682.00 | $11,725.87 | $11,725.87 |