| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,424.33 | $1,424.33 | $2,897.49 | |
Kaiser Permanente
| Professional | $130.94 | $176.63 | $342.10 | |
United
| Facility | $150.00 | $150.00 | $150.00 |
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 | $1,424.33 | $1,424.33 | $2,897.49 | |
Kaiser Permanente
| Professional | $130.94 | $176.63 | $342.10 | |
United
| Facility | $150.00 | $150.00 | $150.00 |