| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $272.72 | $272.72 | $272.72 | |
Kaiser Permanente
| Professional | $1,135.60 | $1,135.60 | $1,135.60 | |
Medcost
| Facility | $90.08 | $318.67 | $452.16 | |
Medcost
| Professional | $340.00 | $399.00 | $437.00 |