| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $1,500.00 | $4,316.00 | $9,244.00 | |
Anthem BCBS
| Professional | $469.69 | $469.69 | $586.86 | |
Cigna
| Professional | $295.33 | $353.85 | $670.08 | |
Kaiser Permanente
| Professional | $257.77 | $638.07 | $801.00 | |
Lucent Health
| Facility | $55.00 | $486.30 | $830.51 | |
Lucent Health
| Professional | $549.98 | $2,194.82 | $2,194.82 |