| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Contra Costa Health
| Professional | $450.91 | $541.09 | $721.46 | |
Kaiser Permanente
| Professional | $90.00 | $350.00 | $1,157.75 | |
Lucent Health
| Facility | $784.58 | $1,713.46 | $1,803.64 | |
Lucent Health
| Professional | $2,254.55 | $2,254.55 | $2,254.55 | |
Providence
| Facility | $626.76 | $626.76 | $626.76 | |
Providence
| Professional | $496.00 | $496.00 | $676.37 | |
Sutter Health Plus
| Professional | $450.91 | $450.91 | $450.91 | |
United
| Professional | $360.73 | $586.17 | $856.73 |