| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $3,999.00 | $6,456.00 | |
Kaiser Permanente
| Professional | $143.19 | $301.10 | $301.10 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 |
Prtl Exc Pst Vrt Intrnsc B1y Les 1 Vrt Sgm Ea
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $3,999.00 | $6,456.00 | |
Kaiser Permanente
| Professional | $143.19 | $301.10 | $301.10 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 |