| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $3,630.78 | $6,165.95 | $13,803.84 | |
Kaiser Permanente
| Professional | $141.25 | $398.11 | $1,698.24 | |
Lucent Health
| Facility | $11,748.98 | $28,840.32 | $28,840.32 | |
Lucent Health
| Professional | $2,884.03 | $3,162.28 | $3,162.28 | |
Providence
| Facility | $645.65 | $870.96 | $1,348.96 |