| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $208.08 | $208.08 | $216.16 | |
Kaiser Permanente
| Professional | $886.64 | $886.64 | $886.64 | |
Medcost
| Facility | $117.03 | $265.89 | $436.73 | |
Medcost
| Professional | $282.00 | $342.00 | $561.00 |