| 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 | $5,051.72 | $5,051.72 | $7,285.71 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $6,786.00 | |
Lucent Health
| Facility | $4,388.85 | $8,026.38 | $8,026.38 | |
Lucent Health
| Professional | $16,596.00 | $20,271.75 | $20,271.75 |