| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $3,060.00 | $3,693.00 | $4,290.00 | |
Anthem BCBS
| Professional | $376.76 | $376.76 | $376.76 | |
Kaiser Permanente
| Professional | $1,777.01 | $1,777.01 | $1,777.01 | |
Medcost
| Professional | $144.00 | $480.00 | $929.05 |