| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $4,140.00 | $9,899.00 | $19,158.00 | |
Cigna
| Professional | $1,768.27 | $1,868.92 | $2,239.17 | |
Kaiser Permanente
| Professional | $393.93 | $638.07 | $801.00 | |
Lucent Health
| Facility | $55.00 | $1,329.04 | $1,878.92 | |
Lucent Health
| Professional | $6,244.00 | $6,244.00 | $6,244.00 | |
Providence
| Facility | $550.91 | $704.79 | $1,413.00 |