| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $128.79 | $139.30 | $183.08 | |
Kaiser Permanente
| Facility | $103.00 | $118.00 | $155.00 |
Level 3 Imaging without Contrast
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $128.79 | $139.30 | $183.08 | |
Kaiser Permanente
| Facility | $103.00 | $118.00 | $155.00 |