| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $1.00 | $225.00 | $250.00 | |
Blue Shield
| Professional | $40.00 | $40.00 | $40.00 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $393.93 | |
Lucent Health
| Facility | $100.00 | $100.00 | $100.00 |