| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $55.71 | $72.08 | $244.53 | |
Anthem BCBS
| Professional | $63.92 | $92.45 | $261.77 | |
Blue Shield
| Professional | $51.07 | $72.34 | $115.99 | |
Cigna
| Professional | $55.86 | $92.79 | $231.57 | |
Contra Costa Health
| Professional | $67.73 | $125.00 | $156.25 | |
Kaiser Permanente
| Professional | $84.61 | $112.50 | $230.00 | |
Lucent Health
| Professional | $637.99 | $637.99 | $846.75 | |
Molina
| Professional | $32.34 | $70.00 | $143.05 | |
Providence
| Professional | $55.86 | $97.22 | $231.57 | |
Sutter Health Plus
| Professional | $300.14 | $300.14 | $300.14 | |
United
| Professional | $69.27 | $92.75 | $203.98 |