| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $117.48 | $153.94 | $261.89 | |
United
| Facility | $150.00 | $150.00 | $150.00 |
Epidrm Agrft T/A/L Ea 100 Cm/Ea 1% Bdy Inft/Chld
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $117.48 | $153.94 | $261.89 | |
United
| Facility | $150.00 | $150.00 | $150.00 |