| 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 | $660.69 | $1,412.54 | $2,238.72 | |
Lucent Health
| Facility | $31,622.78 | $31,622.78 | $31,622.78 | |
Molina
| Professional | $354.81 | $354.81 | $354.81 | |
United
| Professional | $275.42 | $275.42 | $275.42 |