| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $11,748.98 | $16,982.44 | $28,840.32 | |
Kaiser Permanente
| Professional | $398.11 | $4,786.30 | $16,982.44 | |
Lucent Health
| Facility | $54.95 | $56.23 | $10,000.00 | |
Lucent Health
| Professional | $31,622.78 | $31,622.78 | $31,622.78 |