| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $393.93 | $393.93 | $393.93 | |
Lucent Health
| Facility | $1,576.20 | $1,576.20 | $4,240.14 | |
Lucent Health
| Professional | $11,117.53 | $11,117.53 | $11,117.53 |