| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $1,267.00 | $3,676.72 | $7,164.61 | |
CareSource
| Facility | $74,999.25 | $74,999.25 | $74,999.25 | |
Kaiser Permanente
| Professional | $624.00 | $1,054.55 | $4,109.31 | |
Oscar Health
| Professional | $4.00 | $921.30 | $1,324.10 |