| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,583.12 | $1,583.12 | $1,839.28 | |
Kaiser Permanente
| Professional | $174.27 | $234.83 | $447.04 | |
United
| Facility | $150.00 | $150.00 | $150.00 |
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 | $1,583.12 | $1,583.12 | $1,839.28 | |
Kaiser Permanente
| Professional | $174.27 | $234.83 | $447.04 | |
United
| Facility | $150.00 | $150.00 | $150.00 |