| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $62.40 | $74.79 | $1,675.80 | |
Anthem BCBS
| Facility | $680.00 | $702.00 | $738.00 | |
Blue Shield
| Facility | $82.40 | $90.30 | $95.30 | |
HealthNet
| Facility | $60.09 | $60.09 | $60.09 | |
Kaiser Permanente
| Facility | $118.50 | $195.00 | $315.00 |