| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $472.72 | $472.72 | $472.72 | |
Kaiser Permanente
| Professional | $1,983.09 | $1,983.09 | $1,983.09 | |
Medcost
| Facility | $92.50 | $501.94 | $1,036.07 | |
Medcost
| Professional | $651.00 | $832.00 | $925.00 |