I see that alot in the stuff my insurance bills. $60 test they paid $3 for, another $180 test they paid $21 for or a $37 test that paid $2.80. How can you shop

I see that alot in the stuff my insurance bills. $60 test they paid $3 for, another $180 test they paid $21 for or a $37 test that paid $2.80. How can you shop around when prices are that distorted?