| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $3,738.00 | $14,643.00 | $32,997.00 | |
Kaiser Permanente
| Professional | $257.77 | $638.07 | $801.00 | |
Lucent Health
| Facility | $521.03 | $76,295.35 | $76,295.35 | |
Lucent Health
| Professional | $1,000.48 | $1,000.48 | $1,000.48 |