| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $4,100.00 | $4,975.00 | |
Kaiser Permanente
| Professional | $900.22 | $900.22 | $900.22 | |
United
| Facility | $29,924.00 | $45,102.00 | $147,048.00 |
Rmvl Impltbl Dfb Pls Gen W/Rplcmt Pls Gen Mlt Ld
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $4,100.00 | $4,975.00 | |
Kaiser Permanente
| Professional | $900.22 | $900.22 | $900.22 | |
United
| Facility | $29,924.00 | $45,102.00 | $147,048.00 |