| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $17.35 | $18.59 | $23.24 | |
Contra Costa Health
| Professional | $15.29 | $16.82 | $99.00 | |
Kaiser Permanente
| Professional | $39.26 | $350.00 | $393.93 | |
Lucent Health
| Facility | $90.00 | $90.00 | $90.00 | |
Providence
| Professional | $11.77 | $15.29 | $16.82 | |
Sutter Health Plus
| Professional | $15.29 | $15.29 | $15.29 |