| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $307.45 | $307.45 | $410.00 | |
Aetna
| Professional | AA | $108.07 | $108.07 | $700.00 |
Kaiser Permanente
| Professional | $225.00 | $325.00 | $415.00 |
Anes Perq Img Njx Drg/Aspir Px Spi/Sp Lmbr/Sac
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $307.45 | $307.45 | $410.00 | |
Aetna
| Professional | AA | $108.07 | $108.07 | $700.00 |
Kaiser Permanente
| Professional | $225.00 | $325.00 | $415.00 |