| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $471.87 | $623.94 | $898.32 | |
Anthem BCBS
| Facility | $366.00 | $378.00 | $399.00 | |
Blue Shield
| Facility | $82.20 | $93.00 | $542.00 | |
HealthNet
| Facility | $499.76 | $902.77 | $2,073.00 | |
Kaiser Permanente
| Facility | $118.50 | $195.00 | $315.00 |