| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $2,080.00 | $4,100.00 | |
Kaiser Permanente
| Professional | $306.04 | $634.57 | $634.57 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 |
Optx&/Rdctj Vrt Fx&/Dislc Pst 1 Vrt Sgm Ea
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $2,080.00 | $4,100.00 | |
Kaiser Permanente
| Professional | $306.04 | $634.57 | $634.57 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 |