| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $194.45 | $2,986.00 | $6,456.00 | |
Kaiser Permanente
| Professional | $221.42 | $432.11 | $514.53 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 |
Split Agrft T/A/L Ea 100 Cm/Ea 1% Bdy Inft/Chld
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $194.45 | $2,986.00 | $6,456.00 | |
Kaiser Permanente
| Professional | $221.42 | $432.11 | $514.53 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 |