| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $5,863.00 | $15,068.00 | $32,649.00 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $393.93 | |
Lucent Health
| Facility | $512.34 | $145,677.60 | $145,677.60 | |
Lucent Health
| Professional | $983.89 | $983.89 | $983.89 |