| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $8.91 | $15.14 | $28.84 | |
Lucent Health
| Facility | $100.00 | $100.00 | $100.00 | |
Sutter Health Plus
| Professional | $10.00 | $10.00 | $10.00 | |
United
| Professional | $5.89 | $10.72 | $26.30 |