| 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 | $141.25 | $141.25 | $398.11 | |
Lucent Health
| Facility | $794.33 | $794.33 | $794.33 | |
Lucent Health
| Professional | $229.09 | $229.09 | $229.09 | |
United
| Professional | $45.71 | $45.71 | $54.95 |