| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,754.23 | $2,754.23 | $2,754.23 | |
Blue Shield
| Facility | $23.44 | $23.44 | $23.44 | |
HealthNet
| Facility | $1,621.81 | $6,309.57 | $19,952.62 | |
Kaiser Permanente
| Facility | $117.49 | $194.98 | $316.23 |