| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $7,879.00 | $23,975.44 | $58,775.66 | |
Blue Shield
| Facility | $100.00 | $22,181.83 | $54,684.55 | |
Lucent Health
| Facility | $32,059.77 | $46,552.55 | $54,633.37 | |
Providence
| Facility | $20,610.25 | $21,435.28 | $30,746.06 | |
United
| Facility | $4,846.00 | $4,846.00 | $4,846.00 |