| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $2,570.40 | $4,466.84 | $12,882.50 | |
Anthem BCBS
| Professional | $309.03 | $309.03 | $389.05 | |
Kaiser Permanente
| Professional | $120.23 | $398.11 | $1,698.24 | |
Lucent Health
| Facility | $54.95 | $56.23 | $2,041.74 | |
Lucent Health
| Professional | $1,445.44 | $1,445.44 | $1,445.44 | |
Providence
| Facility | $269.15 | $363.08 | $512.86 |