| 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 | $398.11 | $1,698.24 | |
Lucent Health
| Facility | $54.95 | $56.23 | $3,630.78 | |
Lucent Health
| Professional | $4,265.80 | $4,265.80 | $5,370.32 | |
Providence
| Facility | $933.25 | $1,258.93 | $1,949.84 |