| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $4,570.88 | $8,317.64 | $15,848.93 | |
Kaiser Permanente
| Professional | $128.82 | $257.04 | $831.76 | |
Lucent Health
| Facility | $20,417.38 | $20,417.38 | $20,417.38 | |
Lucent Health
| Professional | $891.25 | $891.25 | $891.25 | |
United
| Professional | $208.93 | $251.19 | $346.74 |