| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $2,216.00 | $5,088.00 | $7,311.00 | |
Cigna
| Professional | $12.49 | $12.49 | $16.73 | |
Kaiser Permanente
| Professional | $135.00 | $638.07 | $801.00 | |
Lucent Health
| Facility | $90.00 | $90.00 | $115.00 | |
Lucent Health
| Professional | $183.00 | $268.88 | $268.88 |