| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $126.13 | $200.13 | $410.79 | |
Kaiser Permanente
| Professional | $127.00 | $227.00 | $413.00 | |
Lucent Health
| Facility | $109.63 | $505.25 | $505.25 | |
Sutter Health Plus
| Professional | $139.60 | $139.60 | $139.60 |