| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $1,275.00 | $6,171.04 | $13,137.87 | |
CareSource
| Facility | $74,999.25 | $74,999.25 | $74,999.25 | |
Kaiser Permanente
| Professional | $1,884.60 | $2,994.22 | $6,677.01 | |
Oscar Health
| Professional | $7.00 | $1,384.90 | $2,131.40 |