| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $343.43 | $343.43 | $343.43 | |
Kaiser Permanente
| Professional | $1,365.36 | $1,365.36 | $1,365.36 | |
Medcost
| Facility | $325.29 | $458.50 | $724.32 | |
Medcost
| Professional | $456.00 | $516.00 | $871.00 |