| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $393.93 | $393.93 | $1,619.00 | |
Lucent Health
| Facility | $136.26 | $227.16 | $227.16 | |
Lucent Health
| Professional | $323.16 | $323.16 | $323.16 | |
Providence
| Facility | $63.00 | $63.00 | $130.00 | |
Sutter Health Plus
| Professional | $157.66 | $157.66 | $157.66 | |
United
| Professional | $83.71 | $118.45 | $124.34 |