| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $37.79 | $44.09 | $235.06 | |
Anthem BCBS
| Professional | $40.09 | $59.81 | $102.72 | |
Blue Shield
| Professional | $5.81 | $35.53 | $57.85 | |
Cigna
| Professional | $42.56 | $42.56 | $67.50 | |
Contra Costa Health
| Professional | $50.21 | $62.76 | $69.04 | |
Kaiser Permanente
| Professional | $39.92 | $56.48 | $109.78 | |
Providence
| Professional | $42.56 | $42.56 | $44.11 | |
Sutter Health Plus
| Professional | $145.85 | $145.85 | $145.85 | |
United
| Professional | $35.67 | $45.48 | $111.83 |