| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $5,032.00 | $6,548.00 | $7,221.00 | |
Kaiser Permanente
| Professional | $1,016.00 | $1,263.00 | $1,771.40 | |
Medcost
| Facility | $623.22 | $731.97 | $959.09 | |
Medcost
| Professional | $591.00 | $670.23 | $1,114.68 |