| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $99.82 | $145.57 | $215.61 | |
Kaiser Permanente
| Facility | $100.00 | $120.00 | $130.00 |
Level 1 Imaging with Contrast
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $99.82 | $145.57 | $215.61 | |
Kaiser Permanente
| Facility | $100.00 | $120.00 | $130.00 |