| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $89.13 | $89.13 | $398.11 | |
Lucent Health
| Facility | $6,165.95 | $6,165.95 | $6,165.95 | |
Lucent Health
| Professional | $11,220.18 | $11,220.18 | $11,220.18 | |
Sutter Health Plus
| Professional | $2,511.89 | $2,511.89 | $2,511.89 | |
United
| Professional | $1,047.13 | $1,995.26 | $4,570.88 |