| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $6,025.60 | $10,715.19 | $17,782.79 | |
Kaiser Permanente
| Professional | $398.11 | $398.11 | $1,698.24 | |
Lucent Health
| Facility | $54.95 | $56.23 | $1,445.44 | |
Lucent Health
| Professional | $5,495.41 | $5,495.41 | $5,495.41 | |
Providence
| Facility | $467.74 | $630.96 | $891.25 |