| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Blue Shield
| Facility | $91.30 | $21,280.96 | $48,059.26 | |
Lucent Health
| Facility | $48,537.00 | $48,537.00 | $67,143.00 | |
Sutter Health Plus
| Facility | $66,531.00 | $66,531.00 | $66,531.00 | |
United
| Facility | $8,800.00 | $20,008.00 | $30,390.00 |