| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $886.85 | $886.85 | $1,058.94 | |
Kaiser Permanente
| Facility | $987.00 | $987.00 | $987.00 |
Op Special Residence Charges-Hospital
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $886.85 | $886.85 | $1,058.94 | |
Kaiser Permanente
| Facility | $987.00 | $987.00 | $987.00 |