| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $6,025.60 | $10,471.29 | $17,782.79 | |
Kaiser Permanente
| Professional | $1,318.26 | $2,951.21 | $4,786.30 | |
Lucent Health
| Facility | $54.95 | $56.23 | $7,413.10 | |
Lucent Health
| Facility | AS | $741.31 | $741.31 | $741.31 |