| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $267.14 | $6,229.00 | $17,030.00 | |
Anthem BCBS
| Facility | $1,787.00 | $4,539.00 | $9,381.00 | |
Blue Shield
| Facility | $65.80 | $100.00 | $7,919.07 | |
Contra Costa Health
| Professional | $84.51 | $167.60 | $297.17 | |
Kaiser Permanente
| Professional | $131.10 | $213.97 | $386.47 | |
Lucent Health
| Facility | $594.91 | $2,000.00 | $26,542.00 | |
Providence
| Facility | $145.74 | $235.14 | $397.29 | |
United
| Facility | $587.00 | $1,533.00 | $5,691.00 |