| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $294.60 | $294.60 | $475.81 | |
Anthem BCBS
| Facility | $95.00 | $190.00 | $231.00 | |
Blue Shield
| Facility | $61.00 | $100.00 | $216.00 | |
HealthNet
| Facility | $566.40 | $4,049.80 | $48,007.33 | |
Kaiser Permanente
| Facility | $118.50 | $195.00 | $315.00 |