| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $398.11 | $398.11 | $1,698.24 | |
Lucent Health
| Facility | $8,912.51 | $8,912.51 | $8,912.51 | |
Lucent Health
| Professional | $16,218.10 | $16,218.10 | $16,218.10 | |
Sutter Health Plus
| Professional | $12,589.25 | $12,589.25 | $12,589.25 |