| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Contra Costa Health
| Professional | $142.63 | $156.88 | $192.55 | |
Kaiser Permanente
| Professional | $366.22 | $366.22 | $393.93 | |
Lucent Health
| Facility | $248.18 | $677.49 | $677.49 | |
Lucent Health
| Professional | $710.30 | $710.30 | $1,069.73 | |
Providence
| Facility | $198.26 | $198.26 | $198.26 | |
Providence
| Professional | $156.88 | $156.88 | $213.95 |