| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $703.03 | $703.03 | $727.27 | |
Kaiser Permanente
| Professional | $2,970.14 | $2,970.14 | $2,970.14 | |
Medcost
| Facility | $650.63 | $893.93 | $1,158.43 | |
Medcost
| Professional | $885.00 | $1,056.00 | $1,893.00 |