| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $12,524.00 | $22,312.00 | $37,718.00 | |
Kaiser Permanente
| Professional | $4,415.00 | $4,764.00 | $4,764.00 | |
Medcost
| Facility | $1,898.75 | $2,147.84 | $2,735.91 | |
Medcost
| Professional | $1,692.00 | $1,905.76 | $3,359.00 |