| 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 | $3,311.31 | $8,912.51 | |
Lucent Health
| Facility | $14,454.40 | $50,118.72 | $50,118.72 | |
Providence
| Facility | $3,981.07 | $3,981.07 | $3,981.07 |