| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $3,445.00 | $8,905.00 | $16,846.00 | |
Kaiser Permanente
| Professional | $135.00 | $393.93 | $393.93 | |
Lucent Health
| Facility | $456.07 | $788.70 | $788.70 | |
Lucent Health
| Professional | $874.90 | $874.90 | $874.90 | |
United
| Professional | $196.91 | $304.01 | $461.72 |