| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $307.45 | $307.45 | $410.00 | |
Aetna
| Professional | AA | $146.21 | $146.21 | $146.21 |
Kaiser Permanente
| Professional | $225.00 | $325.00 | $415.00 |
Anes Perq Img Njx Drg/Aspir Px Spi/Sp Crv/Thrc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $307.45 | $307.45 | $410.00 | |
Aetna
| Professional | AA | $146.21 | $146.21 | $146.21 |
Kaiser Permanente
| Professional | $225.00 | $325.00 | $415.00 |