| 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 | $630.96 | $2,511.89 | $6,309.57 | |
Lucent Health
| Facility | $54.95 | $56.23 | $7,762.47 | |
Lucent Health
| Facility | AS | $776.25 | $776.25 | $776.25 |
Providence
| Facility | $3,235.94 | $3,235.94 | $3,235.94 |