| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $57.55 | $69.58 | $218.07 | |
Blue Shield
| Professional | $3.62 | $5.17 | $7.81 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $393.93 | |
Lucent Health
| Facility | $100.00 | $100.00 | $100.00 |