| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $347.10 | $347.10 | $378.82 | |
Anthem BCBS
| Facility | $488.26 | $488.26 | $552.92 | |
Cigna
| Facility | $451.80 | $451.80 | $451.80 | |
Contra Costa Health
| Professional | $143.52 | $433.62 | $585.39 | |
Kaiser Permanente
| Professional | $365.16 | $492.11 | $979.00 | |
Lucent Health
| Facility | $862.47 | $1,795.39 | $1,927.22 | |
Providence
| Facility | $346.90 | $479.39 | $690.39 |