| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Blue Shield
| Facility | $23.44 | $23.44 | $23.44 | |
HealthNet
| Facility | $44.67 | $114.82 | $5,495.41 | |
Kaiser Permanente
| Facility | $117.49 | $194.98 | $316.23 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Blue Shield
| Facility | $23.44 | $23.44 | $23.44 | |
HealthNet
| Facility | $44.67 | $114.82 | $5,495.41 | |
Kaiser Permanente
| Facility | $117.49 | $194.98 | $316.23 |