| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $393.93 | $4,964.00 | $7,151.00 | |
Lucent Health
| Facility | $5,017.01 | $20,066.20 | $20,066.20 | |
Sutter Health Plus
| Professional | $7,143.57 | $7,143.57 | $7,143.57 |