| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $4,667.00 | $11,504.00 | $21,753.00 | |
Cigna
| Professional | $2,434.94 | $2,434.94 | $3,511.75 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $1,619.00 | |
Lucent Health
| Facility | $4,218.04 | $13,027.20 | $26,542.00 | |
Lucent Health
| Professional | $8,219.00 | $8,219.00 | $8,219.00 | |
Sutter Health Plus
| Professional | $5,096.78 | $5,096.78 | $5,096.78 |