| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $2,570.40 | $4,570.88 | $12,882.50 | |
Kaiser Permanente
| Professional | $128.82 | $134.90 | $398.11 | |
Lucent Health
| Facility | $407.38 | $457.09 | $457.09 | |
Lucent Health
| Professional | $812.83 | $812.83 | $812.83 | |
United
| Professional | $30.20 | $37.15 | $43.65 |