| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $3,060.00 | $3,693.00 | $4,290.00 | |
Kaiser Permanente
| Professional | $1,848.00 | $1,984.00 | $1,984.00 | |
Medcost
| Facility | $679.00 | $750.95 | $919.90 | |
Medcost
| Professional | $916.00 | $1,079.00 | $1,795.00 |