| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $5,382.00 | $17,054.00 | |
Anthem BCBS
| Facility | $1,615.00 | $4,465.00 | $9,381.00 | |
Blue Shield
| Facility | $77.09 | $100.00 | $27,955.87 | |
Contra Costa Health
| Professional | $65.52 | $80.25 | $98.28 | |
Kaiser Permanente
| Professional | $72.51 | $93.42 | $166.17 | |
Lucent Health
| Facility | $55.00 | $174.97 | $358.77 | |
Providence
| Facility | $73.86 | $91.04 | $128.40 | |
United
| Facility | $548.00 | $1,551.00 | $6,920.00 |