| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $44.99 | $104.34 | $107.08 | |
Kaiser Permanente
| Professional | $66.33 | $76.28 | $99.49 | |
United
| Professional | $36.76 | $154.43 | $294.11 |
Dev Interr Prgrmg Io Rta Eltrd Ra W/Adj & Reprt
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $44.99 | $104.34 | $107.08 | |
Kaiser Permanente
| Professional | $66.33 | $76.28 | $99.49 | |
United
| Professional | $36.76 | $154.43 | $294.11 |