| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $359.99 | $389.39 | $511.77 | |
Kaiser Permanente
| Facility | $103.00 | $118.00 | $155.00 |
Plate pheres leukoredu irrad
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $359.99 | $389.39 | $511.77 | |
Kaiser Permanente
| Facility | $103.00 | $118.00 | $155.00 |