| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $4.12 | $5.16 | $50.00 | |
Kaiser Permanente
| Professional | $129.00 | $638.07 | $801.00 | |
Lucent Health
| Facility | $65.00 | $100.00 | $100.00 | |
Providence
| Facility | $2,400,000.00 | $2,400,000.00 | $2,400,000.00 | |
Providence
| Professional | $1,800,000.00 | $2,400,000.00 | $2,400,000.00 |