| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $51.87 | $75.64 | $112.03 | |
Kaiser Permanente
| Facility | $100.00 | $120.00 | $130.00 |
Level 2 Health and Behavior Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $51.87 | $75.64 | $112.03 | |
Kaiser Permanente
| Facility | $100.00 | $120.00 | $130.00 |