| 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 | $1,891.70 | $3,248.52 | $7,244.89 | |
Oscar Health
| Professional | $7.00 | $1,499.80 | $2,313.00 |