| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $805.45 | $1,188.73 | $1,475.91 | |
Anthem BCBS
| Facility | $357.00 | $1,301.00 | $2,178.00 | |
Cigna
| Facility | $7,350.00 | $7,350.00 | $7,350.00 | |
HealthNet
| Facility | $1,860.77 | $7,344.57 | $21,379.11 | |
Kaiser Permanente
| Facility | $100.00 | $195.00 | $315.00 |