| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $3,537.00 | $9,030.00 | $17,774.00 | |
Kaiser Permanente
| Professional | $135.00 | $393.93 | $393.93 | |
Lucent Health
| Facility | $1,395.64 | $87,969.10 | $87,969.10 | |
Lucent Health
| Professional | $3,834.43 | $4,448.80 | $4,448.80 | |
Providence
| Professional | $661.46 | $964.64 | $1,661.36 |