| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Blue Shield
| Facility | $91.70 | $14,133.49 | $31,543.97 | |
Lucent Health
| Facility | $8,586.00 | $8,586.00 | $8,586.00 | |
Sutter Health Plus
| Facility | $20,864.00 | $20,864.00 | $20,864.00 | |
United
| Facility | $13,019.00 | $13,019.00 | $13,019.00 |