| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $9.12 | $9.55 | $11.75 | |
Contra Costa Health
| Professional | $100.00 | $100.00 | $100.00 | |
Kaiser Permanente
| Professional | $7.41 | $7.41 | $398.11 | |
Lucent Health
| Facility | $89.13 | $89.13 | $89.13 | |
United
| Facility | $3.39 | $4.17 | $5.13 | |
United
| Professional | $3.16 | $9.77 | $14.45 |