| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $229.09 | $229.09 | $229.09 | |
Blue Shield
| Facility | $89.13 | $89.13 | $89.13 | |
HealthNet
| Facility | $9,549.93 | $9,549.93 | $9,549.93 | |
Kaiser Permanente
| Facility | $117.49 | $194.98 | $316.23 |