| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $38.18 | $38.18 | $38.18 | |
Anthem BCBS
| Facility | $366.00 | $378.00 | $399.00 | |
Blue Shield
| Facility | $82.20 | $93.00 | $542.00 | |
HealthNet
| Facility | $213.74 | $213.74 | $213.74 | |
Kaiser Permanente
| Facility | $118.50 | $195.00 | $315.00 |