| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $3,222.00 | $7,270.00 | $14,103.00 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $393.93 | |
Lucent Health
| Facility | $499.80 | $499.80 | $946.87 | |
Lucent Health
| Professional | $1,616.79 | $1,616.79 | $1,616.79 |