| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $10,900.00 | $13,875.00 | $15,752.00 | |
Kaiser Permanente
| Professional | $2,625.00 | $2,625.00 | $2,625.00 | |
Medcost
| Facility | $1,966.27 | $2,167.57 | $2,675.00 | |
Medcost
| Professional | $1,627.00 | $1,794.00 | $2,824.85 |