| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $1,500.00 | $4,316.00 | $9,244.00 | |
Kaiser Permanente
| Professional | $257.77 | $638.07 | $801.00 | |
Lucent Health
| Facility | $294.93 | $6,509.35 | $6,509.35 | |
Lucent Health
| Professional | $565.15 | $565.15 | $565.15 | |
Molina
| Professional | $60.00 | $60.00 | $85.00 |