| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $4,570.88 | $8,128.31 | $15,848.93 | |
Kaiser Permanente
| Professional | $398.11 | $398.11 | $398.11 | |
Lucent Health
| Facility | $10,715.19 | $10,715.19 | $10,715.19 | |
Lucent Health
| Professional | $1,318.26 | $1,380.38 | $1,380.38 | |
United
| Professional | $95.50 | $134.90 | $269.15 |