| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,754.40 | $11,481.54 | $23,988.33 | |
Anthem BCBS
| Facility | $6,456.54 | $11,748.98 | $20,892.96 | |
Blue Shield
| Facility | $61.66 | $100.00 | $1,862.09 | |
Contra Costa Health
| Professional | $1,047.13 | $1,122.02 | $1,479.11 | |
Kaiser Permanente
| Professional | $977.24 | $1,258.93 | $2,238.72 | |
Lucent Health
| Facility | $54.95 | $56.23 | $9,332.54 | |
Providence
| Facility | $1,122.02 | $1,445.44 | $2,137.96 | |
United
| Facility | $2,041.74 | $6,165.95 | $18,620.87 |