| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $203.00 | $486.00 | $876.00 | |
Anthem BCBS
| Professional | $68.00 | $86.37 | $92.01 | |
Blue Shield
| Facility | $63.50 | $100.00 | $1,652.10 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $393.93 |