| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $2.51 | $3.16 | $3.55 | |
Kaiser Permanente
| Professional | $398.11 | $630.96 | $831.76 | |
Lucent Health
| Facility | $100.00 | $100.00 | $100.00 | |
Providence
| Professional | $79.43 | $79.43 | $79.43 |