| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $90.00 | $350.00 | $393.93 | |
Lucent Health
| Facility | $2,943.50 | $2,943.50 | $4,973.50 | |
Lucent Health
| Professional | $7,105.00 | $7,105.00 | $7,105.00 | |
Providence
| Professional | $2,233.00 | $2,233.00 | $2,537.50 | |
Sutter Health Plus
| Professional | $2,030.00 | $2,030.00 | $2,030.00 |