| 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 | $66.34 | $71.62 | $223.67 | |
Kaiser Permanente
| Professional | $71.02 | $90.75 | $259.45 | |
United
| Professional | $68.73 | $93.13 | $166.38 |