| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,614.00 | $8,309.00 | $25,471.42 | |
Kaiser Permanente
| Professional | $2,023.78 | $2,023.78 | $2,023.78 | |
United
| Facility | $29,924.00 | $57,240.00 | $147,048.00 |
Insj/Rplcmt Perm Dfb W/Trnsvns Lds 1/Dual Chmbr
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,614.00 | $8,309.00 | $25,471.42 | |
Kaiser Permanente
| Professional | $2,023.78 | $2,023.78 | $2,023.78 | |
United
| Facility | $29,924.00 | $57,240.00 | $147,048.00 |