| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.40 | $20.93 | $34.68 | |
Anthem BCBS
| Professional | $6.54 | $24.20 | $94.12 | |
Blue Shield
| Professional | $21.41 | $30.19 | $54.95 | |
Cigna
| Professional | $20.71 | $31.59 | $90.64 | |
Contra Costa Health
| Professional | $39.53 | $39.53 | $53.37 | |
Kaiser Permanente
| Professional | $30.00 | $35.33 | $61.83 | |
Lucent Health
| Professional | $201.41 | $201.41 | $266.63 | |
Molina
| Professional | $32.34 | $44.67 | $70.00 | |
Providence
| Professional | $20.71 | $33.60 | $83.25 | |
Sutter Health Plus
| Professional | $108.28 | $108.28 | $108.28 | |
United
| Professional | $23.80 | $33.56 | $70.31 |