| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $288.83 | $361.05 | $839.94 | |
Contra Costa Health
| Professional | $584.90 | $643.39 | $935.84 | |
Kaiser Permanente
| Professional | $393.93 | $664.00 | $1,619.00 | |
Lucent Health
| Facility | $1,508.52 | $2,222.62 | $2,339.60 | |
Lucent Health
| Professional | $2,924.50 | $2,924.50 | $2,924.50 | |
Providence
| Facility | $813.01 | $813.01 | $903.35 | |
Providence
| Professional | $538.11 | $653.33 | $796.75 | |
Sutter Health Plus
| Professional | $2,052.98 | $2,052.98 | $2,052.98 | |
United
| Facility | $263.20 | $401.38 | $712.92 |