| 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 | $7,244.36 | |
Lucent Health
| Professional | $8,128.31 | $8,128.31 | $8,128.31 | |
Providence
| Facility | $323.59 | $489.78 | $2,884.03 |