| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $6,606.93 | $11,481.54 | $17,782.79 | |
Kaiser Permanente
| Professional | $398.11 | $1,698.24 | $4,786.30 | |
Lucent Health
| Facility | $54.95 | $56.23 | $4,570.88 | |
Lucent Health
| Professional | $7,079.46 | $7,079.46 | $7,079.46 | |
Providence
| Facility | $1,230.27 | $1,445.44 | $2,187.76 |