| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Blue Shield
| Facility | $93.10 | $17,355.68 | $37,473.67 | |
Lucent Health
| Facility | $8,408.00 | $8,408.00 | $8,408.00 | |
Sutter Health Plus
| Facility | $29,779.00 | $29,779.00 | $29,779.00 | |
United
| Facility | $13,019.00 | $13,019.00 | $13,019.00 |