| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $4,314.00 | $9,324.00 | $16,991.00 | |
Kaiser Permanente
| Professional | $257.77 | $638.07 | $801.00 |
Lap Es Sph Augment Dev Plac
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $4,314.00 | $9,324.00 | $16,991.00 | |
Kaiser Permanente
| Professional | $257.77 | $638.07 | $801.00 |