| 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 | $3,937.05 | $3,937.05 | $5,678.10 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $6,786.00 | |
Lucent Health
| Facility | $3,640.50 | $7,634.97 | $7,634.97 | |
Lucent Health
| Professional | $14,768.00 | $16,929.27 | $16,929.27 |