| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $9.09 | $9.50 | $11.87 | |
Contra Costa Health
| Professional | $99.00 | $99.00 | $99.00 | |
Kaiser Permanente
| Professional | $7.37 | $350.00 | $393.93 | |
Lucent Health
| Facility | $90.00 | $90.00 | $90.00 | |
Providence
| Facility | $10.45 | $10.45 | $10.45 | |
Providence
| Professional | $5.79 | $7.14 | $8.27 |