| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $744.00 | $3,142.00 | $6,821.66 | |
CareSource
| Facility | $74,999.25 | $74,999.25 | $74,999.25 | |
Kaiser Permanente
| Professional | $540.00 | $842.44 | $3,327.80 | |
Oscar Health
| Professional | $4.00 | $750.60 | $1,075.00 |