| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $2,696.00 | $7,166.00 | $13,998.00 | |
Cigna
| Professional | $803.99 | $803.99 | $803.99 | |
Kaiser Permanente
| Professional | $135.00 | $393.93 | $1,619.00 | |
Lucent Health
| Facility | $1,839.88 | $11,500.00 | $26,542.00 | |
Lucent Health
| Professional | $6,228.00 | $6,228.00 | $6,228.00 |