| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $2,275.00 | $7,007.00 | $16,106.00 | |
Kaiser Permanente
| Professional | $257.77 | $638.07 | $801.00 | |
Lucent Health
| Facility | $445.00 | $10,998.05 | $10,998.05 | |
Lucent Health
| Professional | $854.42 | $854.42 | $854.42 |