| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $91.20 | $223.87 | $660.69 | |
Blue Shield
| Facility | $83.18 | $89.13 | $91.20 | |
HealthNet
| Facility | $660.69 | $7,762.47 | $21,877.62 | |
Kaiser Permanente
| Facility | $117.49 | $194.98 | $316.23 |