| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Blue Shield
| Facility | $93.10 | $28,088.37 | $59,641.55 | |
Lucent Health
| Facility | $11,670.00 | $11,670.00 | $11,670.00 | |
Sutter Health Plus
| Facility | $42,524.00 | $42,524.00 | $42,524.00 | |
United
| Facility | $13,019.00 | $13,019.00 | $13,019.00 |