| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $4,204.00 | $9,816.00 | $18,150.00 | |
Cigna
| Professional | $1,421.10 | $1,421.10 | $2,049.54 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $1,619.00 | |
Lucent Health
| Facility | $2,200.94 | $5,448.50 | $26,542.00 | |
Lucent Health
| Professional | $4,110.00 | $4,110.00 | $4,110.00 | |
Providence
| Facility | $874.98 | $1,170.00 | $1,773.28 |