| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $24.53 | $25.64 | $153.38 |
Contra Costa Health
| Professional | 26 | $13.06 | $27.45 | $37.06 |
Kaiser Permanente
| Professional | 26 | $22.60 | $32.94 | $57.75 |
Lucent Health
| Facility | 26 | $80.98 | $115.44 | $121.36 |