| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $121.07 | $130.96 | $172.12 | |
Kaiser Permanente
| Facility | $103.00 | $118.00 | $155.00 |
Plt, aph/pher, l/r, cmv-neg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $121.07 | $130.96 | $172.12 | |
Kaiser Permanente
| Facility | $103.00 | $118.00 | $155.00 |