| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $1,000.00 | $1,000.00 | $1,023.29 | |
Kaiser Permanente
| Professional | $4,073.80 | $4,073.80 | $4,073.80 | |
Medcost
| Professional | $1,023.29 | $1,202.26 | $1,288.25 | |
Medcost
| Facility | $758.58 | $1,148.15 | $1,949.84 |