| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $2,773.04 | $4,399.93 | $9,031.37 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $393.93 | |
Lucent Health
| Facility | $7,128.00 | $17,858.40 | $17,858.40 | |
Sutter Health Plus
| Professional | $6,357.59 | $6,357.59 | $6,357.59 |