| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $2,115.00 | $4,576.00 | $9,589.00 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $393.93 | |
Lucent Health
| Facility | $615.29 | $8,159.60 | $8,159.60 | |
Lucent Health
| Professional | $1,180.41 | $1,180.41 | $1,180.41 |