| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $2,145.00 | $4,837.00 | $9,589.00 | |
Kaiser Permanente
| Professional | $120.00 | $120.00 | $393.93 | |
Lucent Health
| Facility | $2,533.07 | $2,533.07 | $3,293.22 | |
Lucent Health
| Professional | $3,293.22 | $3,293.22 | $3,385.88 |