| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $257.50 | $375.54 | $556.21 | |
Kaiser Permanente
| Facility | $100.00 | $120.00 | $130.00 |
Plt, pher, l/r cmv-neg, irr
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $257.50 | $375.54 | $556.21 | |
Kaiser Permanente
| Facility | $100.00 | $120.00 | $130.00 |