| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Blue Shield
| Facility | $93.10 | $49,537.83 | $133,433.44 | |
Lucent Health
| Facility | $14,035.00 | $40,000.00 | $110,931.00 | |
Sutter Health Plus
| Facility | $124,284.00 | $124,284.00 | $124,284.00 | |
United
| Facility | $2,004.00 | $47,871.00 | $85,656.00 |