| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $8.91 | $12.02 | $64.57 | |
Anthem BCBS
| Professional | $0.79 | $14.79 | $45.71 | |
Blue Shield
| Professional | $12.02 | $15.49 | $37.15 | |
Cigna
| Professional | $10.47 | $10.47 | $10.47 | |
Contra Costa Health
| Professional | $14.13 | $15.85 | $19.05 | |
Kaiser Permanente
| Professional | $11.48 | $15.49 | $28.84 | |
Lucent Health
| Professional | $77.62 | $95.50 | $95.50 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
Providence
| Professional | $10.72 | $10.72 | $12.30 | |
Sutter Health Plus
| Professional | $45.71 | $45.71 | $45.71 | |
United
| Professional | $10.00 | $13.18 | $28.84 |