| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $98.24 | $105.02 | $7,497.29 | |
Anthem BCBS
| Facility | $131.16 | $158.58 | $417.63 | |
Blue Shield
| Facility | $77.09 | $79.00 | $91.00 | |
Cigna
| Facility | $9,802.00 | $9,802.00 | $9,802.00 | |
Contra Costa Health
| Professional | $87.95 | $105.28 | $136.86 | |
Kaiser Permanente
| Professional | $93.60 | $117.00 | $221.58 | |
Lucent Health
| Facility | $223.62 | $1,060.00 | $1,060.00 | |
Providence
| Facility | $96.83 | $123.00 | $169.74 | |
United
| Facility | $548.00 | $1,533.00 | $6,920.00 |