| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $3,630.78 | $6,165.95 | $13,489.63 | |
Kaiser Permanente
| Professional | $398.11 | $398.11 | $1,698.24 | |
Lucent Health
| Facility | $54.95 | $56.23 | $5,011.87 | |
Lucent Health
| Professional | $1,737.80 | $1,737.80 | $4,168.69 | |
Providence
| Facility | $416.87 | $512.86 | $758.58 |