| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $31.62 | $31.62 | $39.81 | |
Kaiser Permanente
| Professional | $120.23 | $398.11 | $1,698.24 | |
Lucent Health
| Facility | $54.95 | $56.23 | $1,659.59 | |
Lucent Health
| Professional | $154.88 | $154.88 | $229.09 |