| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $323.04 | $323.04 | $504.92 | |
Anthem BCBS
| Facility | $320.00 | $562.00 | $4,130.00 | |
Blue Shield
| Facility | $82.60 | $90.30 | $1,318.00 | |
HealthNet
| Facility | $4,122.88 | $46,683.40 | $57,938.05 | |
Kaiser Permanente
| Facility | $118.50 | $224.00 | $575.00 |