| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.63 | $9,006.00 | $20,509.00 | |
Anthem BCBS
| Facility | $21.37 | $169.00 | $876.00 | |
Cigna
| Facility | $15.32 | $15.32 | $15.32 | |
Contra Costa Health
| Professional | $13.65 | $15.02 | $18.43 | |
Kaiser Permanente
| Professional | $11.54 | $14.74 | $25.60 | |
Lucent Health
| Facility | $80.00 | $80.00 | $80.00 | |
Providence
| Facility | $12.40 | $15.87 | $25.49 |