| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $2,511.89 | $4,570.88 | $9,549.93 | |
Kaiser Permanente
| Professional | $11,748.98 | $11,748.98 | $11,748.98 |
Thrmbc Prq Arven Fstl Autog/Nonautog Grf
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $2,511.89 | $4,570.88 | $9,549.93 | |
Kaiser Permanente
| Professional | $11,748.98 | $11,748.98 | $11,748.98 |