| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $4,786.30 | $8,128.31 | $15,848.93 | |
Kaiser Permanente
| Professional | $467.74 | $1,000.00 | $1,698.24 | |
Lucent Health
| Facility | $17,378.01 | $17,378.01 | $17,378.01 | |
Molina
| Professional | $380.19 | $380.19 | $380.19 | |
United
| Professional | $213.80 | $213.80 | $213.80 |