| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $18.44 | $27.00 | $393.93 | |
Lucent Health
| Facility | $85.00 | $141.41 | $151.16 | |
Lucent Health
| Professional | $236.16 | $236.16 | $236.16 | |
Providence
| Professional | $42.52 | $70.58 | $104.50 | |
Sutter Health Plus
| Professional | $138.19 | $138.19 | $138.19 |