| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Blue Shield
| Facility | $91.30 | $27,031.00 | $106,262.84 | |
Lucent Health
| Facility | $48,537.00 | $48,537.00 | $128,447.00 | |
Sutter Health Plus
| Facility | $149,796.00 | $149,796.00 | $149,796.00 | |
United
| Facility | $12,497.00 | $47,201.00 | $79,663.00 |