| 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 | $506.39 | $641.24 | $930.84 | |
Kaiser Permanente
| Professional | $393.93 | $638.07 | $801.00 | |
Lucent Health
| Facility | $55.00 | $368.43 | $26,050.70 | |
Lucent Health
| Professional | $1,122.00 | $1,309.61 | $8,263.84 | |
Providence
| Facility | $116.76 | $198.00 | $317.23 |