| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $393.93 | $393.93 | $393.93 | |
Lucent Health
| Facility | $429.64 | $572.50 | $604.95 | |
Lucent Health
| Professional | $864.22 | $864.22 | $864.22 | |
Sutter Health Plus
| Professional | $246.92 | $246.92 | $246.92 |