| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $6,456.54 | $11,481.54 | $17,782.79 | |
Kaiser Permanente
| Professional | $1,698.24 | $4,897.79 | $7,943.28 | |
Lucent Health
| Facility | $54.95 | $56.23 | $9,332.54 | |
Lucent Health
| Facility | AS | $933.25 | $933.25 | $933.25 |