| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $1,450.00 | $4,333.00 | $8,260.00 | |
Kaiser Permanente
| Professional | $283.26 | $638.07 | $801.00 | |
Lucent Health
| Facility | $240.11 | $2,379.35 | $2,379.35 | |
Lucent Health
| Professional | $461.27 | $528.75 | $528.75 |