| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Contra Costa Health
| Professional | $22.29 | $26.75 | $33.43 | |
Kaiser Permanente
| Professional | $51.00 | $393.93 | $1,619.00 | |
Lucent Health
| Facility | $111.88 | $201.18 | $201.18 | |
Lucent Health
| Professional | $500.00 | $500.00 | $500.00 | |
Providence
| Facility | $60.00 | $60.00 | $70.00 | |
Providence
| Professional | $50.00 | $50.00 | $50.00 | |
United
| Professional | $60.00 | $60.00 | $60.00 |