| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $852.95 | $3,575.00 | $4,601.00 | |
Kaiser Permanente
| Professional | $987.52 | $1,918.40 | $2,284.30 | |
United
| Facility | $808.00 | $1,171.00 | $26,408.00 |
Epidrm Agrft T/A/L 1st 100 Cm/&/1% Bdy Inft/Chld
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $852.95 | $3,575.00 | $4,601.00 | |
Kaiser Permanente
| Professional | $987.52 | $1,918.40 | $2,284.30 | |
United
| Facility | $808.00 | $1,171.00 | $26,408.00 |