| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $294.73 | $294.73 | $294.73 | |
Anthem BCBS
| Facility | $492.00 | $1,136.00 | $2,870.00 | |
Blue Shield
| Facility | $48.22 | $80.54 | $907.00 | |
HealthNet
| Facility | $152.21 | $1,011.20 | $2,844.75 | |
Kaiser Permanente
| Facility | $118.50 | $195.00 | $315.00 |