| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $654.00 | $3,116.30 | $6,611.20 | |
CareSource
| Facility | $74,999.25 | $74,999.25 | $74,999.25 | |
Kaiser Permanente
| Professional | $776.00 | $1,280.04 | $4,549.60 | |
Oscar Health
| Professional | $4.00 | $1,020.00 | $1,458.30 |