| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $2,277.69 | $6,369.70 | $12,332.18 | |
Kaiser Permanente
| Professional | $2,130.00 | $2,130.00 | $2,404.00 |
Lam&Sctj Dentate Lig W/Wo Dural Grf Crv 1/2 Seg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $2,277.69 | $6,369.70 | $12,332.18 | |
Kaiser Permanente
| Professional | $2,130.00 | $2,130.00 | $2,404.00 |