| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $791.00 | $2,490.09 | $4,221.47 | |
Anthem BCBS
| Professional | $57.58 | $58.55 | $94.99 | |
Kaiser Permanente
| Professional | $51.32 | $65.56 | $213.13 | |
United
| Professional | $55.13 | $75.68 | $109.34 |