| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $8,709.64 | $13,803.84 | $22,908.68 | |
Kaiser Permanente
| Professional | $141.25 | $398.11 | $1,698.24 | |
Lucent Health
| Facility | $54.95 | $56.23 | $6,760.83 | |
Lucent Health
| Professional | $12,882.50 | $12,882.50 | $12,882.50 |