| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $3,534.00 | $8,484.00 | $16,676.00 | |
Kaiser Permanente
| Professional | $135.00 | $393.93 | $393.93 | |
Lucent Health
| Facility | $1,023.80 | $83,492.39 | $83,492.39 | |
Lucent Health
| Professional | $4,317.02 | $4,317.02 | $4,317.02 | |
Providence
| Professional | $436.69 | $636.84 | $1,116.53 |