| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $118.74 | $128.43 | $168.80 | |
Kaiser Permanente
| Facility | $103.00 | $118.00 | $155.00 |
RBC, l/r, cmv-neg, irrad
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $118.74 | $128.43 | $168.80 | |
Kaiser Permanente
| Facility | $103.00 | $118.00 | $155.00 |