| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $4,667.00 | $11,780.00 | $22,642.00 | |
Cigna
| Professional | $1,724.12 | $1,724.12 | $2,486.57 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $1,619.00 | |
Lucent Health
| Facility | $55.00 | $2,259.02 | $4,067.94 | |
Lucent Health
| Professional | $8,306.09 | $8,306.09 | $8,306.09 | |
Sutter Health Plus
| Professional | $3,690.78 | $3,690.78 | $3,690.78 |