| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $2,570.40 | $4,570.88 | $12,882.50 | |
Kaiser Permanente
| Professional | $398.11 | $398.11 | $1,698.24 | |
Lucent Health
| Facility | $3,235.94 | $28,840.32 | $28,840.32 | |
Lucent Health
| Professional | $524.81 | $524.81 | $707.95 |