| 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 | $437.57 | $437.57 | |
Lucent Health
| Professional | $586.87 | $586.87 | $586.87 |