| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $295.12 | $295.12 | $295.12 | |
Anthem BCBS
| Facility | $302.00 | $2,511.89 | $3,311.31 | |
Blue Shield
| Facility | $47.86 | $54.95 | $81.28 | |
HealthNet
| Facility | $239.88 | $4,168.69 | $10,000.00 | |
Kaiser Permanente
| Facility | $117.49 | $194.98 | $316.23 |