| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $10,779.19 | $13,180.97 | $30,342.53 | |
Blue Shield
| Facility | $100.00 | $9,560.00 | $22,839.55 | |
Lucent Health
| Facility | $14,413.85 | $20,929.70 | $24,562.78 | |
Providence
| Facility | $9,592.98 | $9,998.98 | $15,373.03 | |
United
| Facility | $4,846.00 | $4,846.00 | $4,846.00 |