| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $2,424.00 | $5,944.00 | $11,994.00 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $393.93 | |
Lucent Health
| Facility | $995.84 | $10,168.04 | $10,168.04 | |
Lucent Health
| Professional | $1,910.62 | $1,910.62 | $1,910.62 |