| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,590.58 | $4,144.00 | $8,043.00 | |
Kaiser Permanente
| Professional | $1,685.78 | $3,506.81 | $3,506.81 | |
United
| Facility | $4,062.00 | $5,185.00 | $19,046.00 |
Optx&/Rdctj Vrt Fx&/Dislc Pst 1 Vrt Sgm Cr
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,590.58 | $4,144.00 | $8,043.00 | |
Kaiser Permanente
| Professional | $1,685.78 | $3,506.81 | $3,506.81 | |
United
| Facility | $4,062.00 | $5,185.00 | $19,046.00 |