| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $180.59 | $240.53 | $1,070.09 | |
Anthem BCBS
| Professional | $186.43 | $268.08 | $581.86 | |
Blue Shield
| Professional | $164.68 | $235.25 | $508.93 | |
Cigna
| Professional | $201.28 | $292.19 | $575.10 | |
Contra Costa Health
| Professional | $133.66 | $264.98 | $404.29 | |
Kaiser Permanente
| Professional | $201.74 | $300.06 | $525.11 | |
Lucent Health
| Professional | $1,457.68 | $2,011.20 | $2,315.48 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
Providence
| Professional | $202.18 | $308.05 | $602.16 | |
Sutter Health Plus
| Professional | $663.97 | $663.97 | $916.42 | |
The Alliance
| Professional | $149.69 | $219.12 | $306.32 | |
United
| Professional | $210.44 | $284.39 | $692.46 |