| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Blue Shield
| Facility | $72.44 | $91.20 | $100.00 | |
Kaiser Permanente
| Facility | $141.25 | $223.87 | $19,498.45 | |
Sutter Health Plus
| Facility | $13,803.84 | $13,803.84 | $13,803.84 | |
The Alliance
| Facility | $5,128.61 | $5,128.61 | $5,128.61 | |
United
| Facility | $5,370.32 | $23,442.29 | $63,095.73 |