| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $22.99 | $22.99 | $28.74 | |
Contra Costa Health
| Professional | $99.00 | $99.00 | $99.00 | |
Kaiser Permanente
| Professional | $23.46 | $23.46 | $393.93 | |
Lucent Health
| Facility | $90.00 | $90.00 | $90.00 | |
Providence
| Professional | $2,250,000.00 | $2,400,000.00 | $2,400,000.00 |