| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $4.17 | $37.15 | $50.12 | |
Kaiser Permanente
| Professional | $120.23 | $131.83 | $831.76 | |
Lucent Health
| Facility | $100.00 | $100.00 | $100.00 | |
Providence
| Professional | $60.26 | $79.43 | $79.43 |