| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $128.82 | $177.83 | $223.87 | |
Kaiser Permanente
| Facility | $100.00 | $120.23 | $128.82 |
Plt, aph/pher, l/r, cmv-neg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $128.82 | $177.83 | $223.87 | |
Kaiser Permanente
| Facility | $100.00 | $120.23 | $128.82 |