| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $24.24 | $24.24 | $30.30 | |
Kaiser Permanente
| Professional | $41.97 | $41.97 | $41.97 | |
Medcost
| Facility | $25.02 | $32.04 | $47.94 | |
Medcost
| Professional | $33.00 | $36.00 | $55.25 |