| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,546.09 | $10,494.00 | $22,788.00 | |
Anthem BCBS
| Facility | $4,597.00 | $13,048.00 | $35,774.62 | |
Blue Shield
| Facility | $63.50 | $100.00 | $1,693.95 | |
Contra Costa Health
| Professional | $1,044.30 | $1,219.70 | $1,566.45 | |
Kaiser Permanente
| Professional | $1,097.73 | $1,415.81 | $2,605.09 | |
Lucent Health
| Facility | $55.00 | $7,855.61 | $9,699.54 | |
Providence
| Facility | $1,150.34 | $1,452.26 | $1,964.11 | |
United
| Facility | $2,047.00 | $5,319.00 | $20,279.00 |