| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $18.20 | $52.48 | $338.84 | |
HealthNet
| Facility | $26.30 | $151.36 | $602.56 | |
Kaiser Permanente
| Facility | $117.49 | $194.98 | $316.23 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $18.20 | $52.48 | $338.84 | |
HealthNet
| Facility | $26.30 | $151.36 | $602.56 | |
Kaiser Permanente
| Facility | $117.49 | $194.98 | $316.23 |