| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $4,786.30 | $8,511.38 | $15,848.93 | |
Anthem BCBS
| Professional | $1,230.27 | $1,230.27 | $1,548.82 | |
Kaiser Permanente
| Professional | $120.23 | $398.11 | $1,698.24 | |
Lucent Health
| Facility | $7,762.47 | $45,708.82 | $45,708.82 | |
Lucent Health
| Professional | $8,128.31 | $8,128.31 | $8,912.51 | |
Providence
| Facility | $1,445.44 | $1,778.28 | $2,454.71 |