| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $177.83 | $251.19 | $1,174.90 | |
Anthem BCBS
| Professional | $208.93 | $316.23 | $741.31 | |
Blue Shield
| Professional | $194.98 | $281.84 | $616.60 | |
Cigna
| Professional | $199.53 | $288.40 | $562.34 | |
Contra Costa Health
| Professional | $134.90 | $208.93 | $389.05 | |
Kaiser Permanente
| Professional | $169.82 | $288.40 | $512.86 | |
Lucent Health
| Professional | $1,995.26 | $2,290.87 | $2,290.87 | |
Molina
| Professional | $234.42 | $234.42 | $389.05 | |
Providence
| Professional | $199.53 | $295.12 | $562.34 | |
Sutter Health Plus
| Professional | $660.69 | $660.69 | $912.01 | |
The Alliance
| Professional | $138.04 | $190.55 | $302.00 | |
United
| Professional | $169.82 | $245.47 | $501.19 |