| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.00 | $210.00 | $222.00 | |
Kaiser Permanente
| Professional | $70.41 | $70.41 | $76.00 |
Anes 2/3 Dgr Brn Exc/Dbrdmt W/Wo Grf Ea 9% Tbs
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.00 | $210.00 | $222.00 | |
Kaiser Permanente
| Professional | $70.41 | $70.41 | $76.00 |