| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $203.00 | $486.00 | $876.00 | |
Anthem BCBS
| Professional | $116.40 | $143.29 | $155.37 | |
Blue Shield
| Facility | $62.08 | $95.50 | $1,684.75 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $393.93 |