| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $2,016.00 | $4,576.00 | $9,381.00 | |
Kaiser Permanente
| Professional | $135.00 | $393.93 | $393.93 | |
Lucent Health
| Facility | $328.16 | $328.16 | $458.96 | |
Lucent Health
| Professional | $784.39 | $784.39 | $784.39 |