| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $393.93 | $393.93 | $1,619.00 | |
Lucent Health
| Facility | $6,264.00 | $8,597.18 | $8,820.00 | |
Lucent Health
| Professional | $12,600.00 | $12,600.00 | $13,000.00 | |
Sutter Health Plus
| Professional | $12,636.00 | $12,636.00 | $12,636.00 |