| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $370.49 | $448.25 | $1,179.73 | |
Anthem BCBS
| Professional | $225.80 | $409.46 | $736.12 | |
Cigna
| Professional | $492.75 | $492.75 | $615.94 | |
Contra Costa Health
| Professional | $99.00 | $99.00 | $99.00 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $1,265.10 | |
Lucent Health
| Facility | $629.97 | $629.97 | $629.97 |