| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $216.76 | $270.95 | $687.50 | |
Contra Costa Health
| Professional | $438.93 | $482.82 | $702.29 | |
Kaiser Permanente
| Professional | $326.00 | $421.00 | $999.00 | |
Lucent Health
| Facility | $1,206.82 | $1,667.93 | $1,755.72 | |
Lucent Health
| Professional | $2,194.65 | $2,194.65 | $2,194.65 | |
Providence
| Facility | $610.11 | $610.11 | $677.90 | |
Providence
| Professional | $395.04 | $493.72 | $602.10 | |
Sutter Health Plus
| Professional | $1,540.64 | $1,540.64 | $1,540.64 |