| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Contra Costa Health
| Professional | $77.34 | $136.56 | $320.16 | |
Kaiser Permanente
| Professional | $257.77 | $393.93 | $888.22 | |
Lucent Health
| Facility | $85.00 | $85.00 | $85.00 | |
Lucent Health
| Professional | $1,080.00 | $1,275.18 | $1,275.18 | |
Sutter Health Plus
| Professional | $485.00 | $485.00 | $485.00 |