| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $297.00 | $435.00 | $1,066.00 | |
Blue Shield
| Facility | $59.90 | $100.00 | $1,726.00 | |
HealthNet
| Facility | $13,436.35 | $13,436.35 | $13,436.35 | |
Kaiser Permanente
| Facility | $118.50 | $224.00 | $575.00 |