| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $5,863.00 | $14,879.00 | $29,048.00 | |
Cigna
| Professional | $4,059.96 | $4,059.96 | $5,855.36 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $6,786.00 | |
Lucent Health
| Facility | $3,526.87 | $8,969.79 | $8,969.79 | |
Lucent Health
| Professional | $16,130.00 | $16,276.95 | $16,276.95 |