| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $9,823.00 | $12,004.00 | $15,528.00 | |
Kaiser Permanente
| Professional | $6,528.50 | $6,528.50 | $6,528.50 | |
Medcost
| Professional | $1,857.00 | $2,162.00 | $2,581.00 |
Lam&Sctj Dentate Lig W/Wo Dural Grf Crv >2 Seg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $9,823.00 | $12,004.00 | $15,528.00 | |
Kaiser Permanente
| Professional | $6,528.50 | $6,528.50 | $6,528.50 | |
Medcost
| Professional | $1,857.00 | $2,162.00 | $2,581.00 |