| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $2,570.40 | $4,570.88 | $12,882.50 | |
Kaiser Permanente
| Professional | $141.25 | $398.11 | $1,698.24 | |
Lucent Health
| Facility | $6,606.93 | $19,498.45 | $19,498.45 | |
Lucent Health
| Professional | $1,479.11 | $1,479.11 | $1,479.11 | |
Providence
| Facility | $257.04 | $331.13 | $478.63 |