| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $140.91 | $140.91 | $140.91 | |
Anthem BCBS
| Facility | $202.00 | $445.00 | $466.00 | |
Blue Shield
| Facility | $82.40 | $90.30 | $95.30 | |
HealthNet
| Facility | $925.26 | $2,850.75 | $10,461.07 | |
Kaiser Permanente
| Facility | $118.50 | $195.00 | $315.00 |