| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Blue Shield
| Facility | $91.30 | $27,031.00 | $155,002.57 | |
Lucent Health
| Facility | $49,744.00 | $56,531.00 | $135,453.00 | |
Sutter Health Plus
| Facility | $221,689.00 | $221,689.00 | $221,689.00 | |
United
| Facility | $16,491.00 | $50,465.00 | $89,264.00 |