| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Blue Shield
| Facility | $93.10 | $12,985.44 | $28,177.45 | |
Lucent Health
| Facility | $6,129.00 | $6,129.00 | $6,129.00 | |
Sutter Health Plus
| Facility | $18,014.00 | $18,014.00 | $18,014.00 | |
United
| Facility | $13,019.00 | $13,019.00 | $13,019.00 |