| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,659.59 | $6,025.60 | $16,982.44 | |
Anthem BCBS
| Facility | $2,570.40 | $4,466.84 | $12,022.64 | |
Blue Shield
| Facility | $66.07 | $1,202.26 | $5,754.40 | |
Cigna
| Facility | $933.25 | $933.25 | $933.25 | |
Contra Costa Health
| Professional | $112.20 | $194.98 | $467.74 | |
Kaiser Permanente
| Professional | $102.33 | $263.03 | $524.81 | |
Lucent Health
| Facility | $54.95 | $56.23 | $2,691.53 | |
Providence
| Facility | $114.82 | $239.88 | $446.68 | |
United
| Facility | $1,445.44 | $2,884.03 | $7,943.28 |