| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $17.82 | $18.47 | $108.02 |
Contra Costa Health
| Professional | 26 | $16.19 | $19.67 | $24.29 |
Kaiser Permanente
| Professional | 26 | $17.70 | $24.61 | $45.24 |
Lucent Health
| Facility | 26 | $42.64 | $100.00 | $297.00 |