| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.00 | $525.00 | $555.00 | |
Kaiser Permanente
| Professional | $352.05 | $352.05 | $380.00 |
Anes Perq Img Njx Drg/Aspir Px Spi/Sp Lmbr/Sac
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.00 | $525.00 | $555.00 | |
Kaiser Permanente
| Professional | $352.05 | $352.05 | $380.00 |