| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $4,314.00 | $10,000.00 | $19,158.00 | |
Cigna
| Professional | $1,504.36 | $1,504.36 | $2,169.62 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $6,786.00 | |
Lucent Health
| Facility | $1,624.62 | $3,713.45 | $4,765.00 | |
Lucent Health
| Professional | $6,990.00 | $7,567.11 | $7,567.11 |