| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $89.13 | $398.11 | $1,148.15 | |
Lucent Health
| Facility | $1,698.24 | $1,698.24 | $1,698.24 | |
Lucent Health
| Professional | $2,238.72 | $2,238.72 | $2,238.72 | |
Sutter Health Plus
| Professional | $446.68 | $446.68 | $446.68 | |
United
| Professional | $190.55 | $363.08 | $812.83 |