| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $2,734.32 | $2,734.32 | $2,734.32 | |
Medcost
| Facility | $727.60 | $935.58 | $1,320.24 | |
Medcost
| Professional | $819.00 | $1,020.00 | $1,722.00 |
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| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $2,734.32 | $2,734.32 | $2,734.32 | |
Medcost
| Facility | $727.60 | $935.58 | $1,320.24 | |
Medcost
| Professional | $819.00 | $1,020.00 | $1,722.00 |