| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $2,060.00 | $4,544.00 | $9,381.00 | |
Cigna
| Professional | $413.82 | $524.03 | $1,179.06 | |
Kaiser Permanente
| Professional | $393.93 | $638.07 | $801.00 | |
Lucent Health
| Facility | $270.75 | $2,000.00 | $15,000.00 | |
Lucent Health
| Professional | $1,021.00 | $3,046.00 | $3,046.00 | |
Providence
| Facility | $112.90 | $209.04 | $369.46 |