| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $307.45 | $448.38 | $664.09 | |
Kaiser Permanente
| Facility | $100.00 | $120.00 | $130.00 |
Level 4 Imaging without Contrast
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $307.45 | $448.38 | $664.09 | |
Kaiser Permanente
| Facility | $100.00 | $120.00 | $130.00 |