| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $436.52 | $436.52 | $457.09 | |
Kaiser Permanente
| Professional | $1,819.70 | $1,819.70 | $1,819.70 | |
Medcost
| Professional | $588.84 | $741.31 | $758.58 | |
Medcost
| Facility | $467.74 | $630.96 | $1,000.00 |