| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $539.39 | $539.39 | $559.59 | |
Kaiser Permanente
| Professional | $2,320.73 | $2,320.73 | $2,320.73 | |
Medcost
| Facility | $474.71 | $672.51 | $912.70 | |
Medcost
| Professional | $659.00 | $810.00 | $1,451.00 |