| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $2,143.00 | $4,958.00 | $13,707.00 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $393.93 | |
Lucent Health
| Facility | $821.42 | $51,397.00 | $51,397.00 | |
Lucent Health
| Professional | $2,443.12 | $2,443.12 | $2,443.12 |