| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $335.00 | $456.00 | $831.00 | |
Anthem BCBS
| Professional | $84.19 | $84.19 | $84.19 | |
Kaiser Permanente
| Professional | $155.00 | $155.00 | $329.00 | |
United
| Facility | $2,640.00 | $8,535.00 | $12,740.00 |