| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $4,786.30 | $8,128.31 | $15,848.93 | |
Kaiser Permanente
| Professional | $398.11 | $398.11 | $398.11 | |
Lucent Health
| Facility | $446.68 | $501.19 | $501.19 | |
Lucent Health
| Professional | $851.14 | $851.14 | $851.14 | |
United
| Professional | $162.18 | $162.18 | $186.21 |