| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $13,619.33 | $16,653.95 | $38,337.32 | |
Blue Shield
| Facility | $100.00 | $13,533.85 | $31,451.76 | |
Lucent Health
| Facility | $18,211.68 | $26,444.35 | $31,034.69 | |
Providence
| Facility | $11,963.51 | $12,458.44 | $15,373.03 | |
United
| Facility | $4,846.00 | $4,846.00 | $4,846.00 |