| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $6,456.54 | $11,481.54 | $17,782.79 | |
Kaiser Permanente
| Professional | $141.25 | $398.11 | $1,698.24 | |
Lucent Health
| Facility | $12,589.25 | $42,657.95 | $42,657.95 | |
Lucent Health
| Professional | $6,606.93 | $6,606.93 | $6,606.93 | |
Sutter Health Plus
| Professional | $4,466.84 | $4,466.84 | $4,466.84 |