| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $399.56 | $399.56 | $399.56 | |
Anthem BCBS
| Facility | $151.00 | $629.00 | $715.00 | |
Blue Shield
| Facility | $82.20 | $93.00 | $558.00 | |
HealthNet
| Facility | $890.12 | $4,253.49 | $14,655.28 | |
Kaiser Permanente
| Facility | $118.50 | $195.00 | $315.00 |