| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $5,652.00 | $14,643.00 | $29,023.00 | |
Cigna
| Professional | $2,037.91 | $2,037.91 | $2,939.12 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $1,619.00 | |
Lucent Health
| Facility | $2,429.57 | $5,154.00 | $5,332.45 | |
Lucent Health
| Professional | $9,793.45 | $9,793.45 | $9,793.45 |