| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,208.95 | $5,310.00 | $16,713.00 | |
Anthem BCBS
| Facility | $2,137.00 | $5,694.00 | $11,233.00 | |
Blue Shield
| Facility | $66.00 | $100.00 | $6,919.63 | |
Cigna
| Facility | $253.20 | $253.65 | $1,487.00 | |
Contra Costa Health
| Professional | $189.81 | $359.22 | $449.03 | |
Kaiser Permanente
| Professional | $298.44 | $411.98 | $729.52 | |
Lucent Health
| Facility | $55.00 | $1,806.85 | $1,843.85 | |
Providence
| Facility | $320.54 | $397.92 | $546.74 | |
United
| Facility | $548.00 | $1,533.00 | $6,323.00 |