| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $7,943.28 | $13,489.63 | $22,387.21 | |
Kaiser Permanente
| Professional | $128.82 | $223.87 | $21,379.62 | |
Lucent Health
| Facility | $10,000.00 | $33,884.42 | $33,884.42 | |
Lucent Health
| Professional | $6,025.60 | $6,025.60 | $6,025.60 | |
Providence
| Facility | $1,348.96 | $1,778.28 | $2,454.71 |