| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $200.51 | $200.51 | $250.63 | |
Contra Costa Health
| Professional | $62.90 | $78.12 | $93.74 | |
Kaiser Permanente
| Professional | $142.05 | $142.05 | $142.05 | |
Lucent Health
| Facility | $520.20 | $520.20 | $520.20 | |
Sutter Health Plus
| Professional | $335.59 | $335.59 | $335.59 | |
The Alliance
| Professional | $62.90 | $78.12 | $117.18 | |
United
| Professional | $120.18 | $120.18 | $154.35 |