| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $59.63 | $86.96 | $128.80 | |
Kaiser Permanente
| Facility | $100.00 | $120.00 | $130.00 |
Level 2 Imaging without Contrast
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $59.63 | $86.96 | $128.80 | |
Kaiser Permanente
| Facility | $100.00 | $120.00 | $130.00 |