| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $152.13 | $164.56 | $216.28 | |
Kaiser Permanente
| Facility | $103.00 | $118.00 | $155.00 |
Level 4 Type B ED Visits
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $152.13 | $164.56 | $216.28 | |
Kaiser Permanente
| Facility | $103.00 | $118.00 | $155.00 |