| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $39.39 | $39.39 | $41.41 | |
Kaiser Permanente
| Professional | $173.94 | $173.94 | $173.94 | |
Medcost
| Facility | $13.68 | $46.59 | $65.64 | |
Medcost
| Professional | $54.00 | $55.00 | $106.00 |