| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $3,108.00 | $7,270.00 | $14,103.00 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $393.93 | |
Lucent Health
| Facility | $85.00 | $351.35 | $351.35 | |
Lucent Health
| Professional | $471.24 | $471.24 | $471.24 |