| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $3,630.78 | $6,165.95 | $13,803.84 | |
Kaiser Permanente
| Professional | $141.25 | $141.25 | $398.11 | |
Lucent Health
| Facility | $147,910.84 | $147,910.84 | $147,910.84 | |
Lucent Health
| Professional | $2,089.30 | $2,089.30 | $2,089.30 | |
United
| Professional | $295.12 | $295.12 | $331.13 |