| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $203.00 | $486.00 | $876.00 | |
Anthem BCBS
| Professional | $261.36 | $421.77 | $636.49 | |
Kaiser Permanente
| Professional | $393.93 | $638.07 | $801.00 | |
Molina
| Professional | $60.00 | $85.00 | $85.00 |