| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $147.04 | $3,575.00 | $4,601.00 | |
Kaiser Permanente
| Professional | $166.37 | $325.48 | $387.55 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 |
Fth/Gft Fr W/Dir Clsr Trnk Ea Addl 20 Sq Cm
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $147.04 | $3,575.00 | $4,601.00 | |
Kaiser Permanente
| Professional | $166.37 | $325.48 | $387.55 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 |