| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $124.96 | $182.24 | $269.92 | |
Kaiser Permanente
| Facility | $100.00 | $120.00 | $130.00 |
RBC, l/r, cmv-neg, irrad
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $124.96 | $182.24 | $269.92 | |
Kaiser Permanente
| Facility | $100.00 | $120.00 | $130.00 |