| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Blue Shield
| Facility | $91.30 | $19,669.59 | $45,635.84 | |
Lucent Health
| Facility | $48,537.00 | $48,537.00 | $54,882.00 | |
Sutter Health Plus
| Facility | $58,687.00 | $58,687.00 | $58,687.00 | |
United
| Facility | $8,800.00 | $20,008.00 | $30,390.00 |