| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $378.86 | $552.53 | $818.34 | |
Kaiser Permanente
| Facility | $100.00 | $120.00 | $130.00 |
Plate pheres leukoredu irrad
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $378.86 | $552.53 | $818.34 | |
Kaiser Permanente
| Facility | $100.00 | $120.00 | $130.00 |