| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $141.25 | $389.05 | $5,128.61 | |
Anthem BCBS
| Facility | $954.99 | $954.99 | $954.99 | |
Blue Shield
| Facility | $56.23 | $87.10 | $100.00 | |
HealthNet
| Facility | $3,630.78 | $10,000.00 | $22,387.21 | |
Kaiser Permanente
| Facility | $117.49 | $208.93 | $331.13 |