| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $393.93 | $393.93 | $393.93 | |
Lucent Health
| Facility | $1,803.13 | $4,966.62 | $5,147.72 | |
Sutter Health Plus
| Professional | $1,286.92 | $1,286.92 | $1,286.92 | |
United
| Professional | $889.25 | $889.25 | $1,815.14 |