| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $7,278.00 | $9,719.00 | |
Kaiser Permanente
| Professional | $939.22 | $1,964.65 | $1,964.65 | |
United
| Facility | $2,648.00 | $3,378.00 | $26,408.00 |
Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Tdn/Fscal Grf
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $7,278.00 | $9,719.00 | |
Kaiser Permanente
| Professional | $939.22 | $1,964.65 | $1,964.65 | |
United
| Facility | $2,648.00 | $3,378.00 | $26,408.00 |