| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,248.07 | $11,220.18 | $23,442.29 | |
Anthem BCBS
| Facility | $6,918.31 | $11,748.98 | $22,387.21 | |
Blue Shield
| Facility | $60.26 | $100.00 | $1,862.09 | |
Contra Costa Health
| Professional | $371.54 | $398.11 | $512.86 | |
Kaiser Permanente
| Professional | $346.74 | $446.68 | $870.96 | |
Kaiser Permanente
| Professional | 80 | $501.19 | $501.19 | $501.19 |
Lucent Health
| Facility | $54.95 | $56.23 | $2,691.53 | |
Lucent Health
| Facility | AS | $269.15 | $269.15 | $269.15 |
Providence
| Facility | $398.11 | $512.86 | $758.58 | |
United
| Facility | $2,041.74 | $6,165.95 | $18,620.87 |