| 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 | $1,581.68 | $65,302.40 | $65,302.40 | |
Lucent Health
| Professional | $5,085.30 | $5,504.72 | $5,504.72 | |
Providence
| Professional | $705.16 | $1,028.34 | $1,775.04 |