| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $597.53 | $3,701.26 | $21,187.42 | |
Cigna
| Facility | $19,883.37 | $19,883.37 | $19,883.37 | |
Kaiser Permanente
| Professional | $398.51 | $514.08 | $863.29 |
Rmvl Impltbl Dfb Plse Gen W/Rplcmt Plse Gen 2 Ld
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $597.53 | $3,701.26 | $21,187.42 | |
Cigna
| Facility | $19,883.37 | $19,883.37 | $19,883.37 | |
Kaiser Permanente
| Professional | $398.51 | $514.08 | $863.29 |