| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $542.07 | $586.34 | $770.61 | |
Kaiser Permanente
| Facility | $103.00 | $118.00 | $155.00 |
Level 4 Diagnostic Tests and Related Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $542.07 | $586.34 | $770.61 | |
Kaiser Permanente
| Facility | $103.00 | $118.00 | $155.00 |