| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $122.98 | $122.98 | $164.00 | |
Kaiser Permanente
| Professional | $45.00 | $65.00 | $83.00 |
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 | $122.98 | $122.98 | $164.00 | |
Kaiser Permanente
| Professional | $45.00 | $65.00 | $83.00 |