| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $1,514.00 | $4,316.00 | $9,244.00 | |
Anthem BCBS
| Professional | $517.16 | $517.16 | $646.46 | |
Cigna
| Professional | $356.96 | $427.67 | $740.09 | |
Kaiser Permanente
| Professional | $257.77 | $638.07 | $801.00 | |
Lucent Health
| Facility | $55.00 | $584.42 | $916.07 | |
Lucent Health
| Professional | $660.66 | $2,404.96 | $2,404.96 |