| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Blue Shield
| Facility | $23.40 | $38.79 | $45.70 | |
HealthNet
| Facility | $1,024.90 | $8,130.68 | $20,113.29 | |
Kaiser Permanente
| Facility | $118.50 | $195.00 | $315.00 |
Pharmacy - Other Pharmacy
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Blue Shield
| Facility | $23.40 | $38.79 | $45.70 | |
HealthNet
| Facility | $1,024.90 | $8,130.68 | $20,113.29 | |
Kaiser Permanente
| Facility | $118.50 | $195.00 | $315.00 |