| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Blue Shield
| Facility | $91.30 | $27,031.00 | $137,766.18 | |
Lucent Health
| Facility | $48,537.00 | $48,537.00 | $128,447.00 | |
Sutter Health Plus
| Facility | $161,606.00 | $161,606.00 | $161,606.00 | |
United
| Facility | $16,491.00 | $48,399.00 | $60,573.00 |