| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $4,201.00 | $5,571.00 | $9,473.00 | |
Kaiser Permanente
| Facility | $7,368.00 | $7,368.00 | $11,512.00 |
Ambulatory Surgical Care-Other Ambulatory Surgical Care
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $4,201.00 | $5,571.00 | $9,473.00 | |
Kaiser Permanente
| Facility | $7,368.00 | $7,368.00 | $11,512.00 |