| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $11,748.98 | $16,982.44 | $28,840.32 | |
Kaiser Permanente
| Professional | $128.82 | $257.04 | $831.76 | |
Lucent Health
| Facility | $75,857.76 | $75,857.76 | $75,857.76 | |
Lucent Health
| Professional | $1,023.29 | $1,023.29 | $1,023.29 | |
United
| Professional | $234.42 | $281.84 | $389.05 |