| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $12,524.00 | $22,312.00 | $37,718.00 | |
Kaiser Permanente
| Professional | $3,262.00 | $3,262.00 | $3,262.00 | |
Medcost
| Facility | $1,974.94 | $2,267.66 | $3,514.95 | |
Medcost
| Professional | $1,630.00 | $1,860.00 | $2,954.98 |