| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $348.31 | $376.76 | $495.16 | |
Kaiser Permanente
| Facility | $103.00 | $118.00 | $155.00 |
RBC deglycerolized
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $348.31 | $376.76 | $495.16 | |
Kaiser Permanente
| Facility | $103.00 | $118.00 | $155.00 |