| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,614.00 | $4,201.00 | $4,975.00 | |
Kaiser Permanente
| Professional | $1,244.33 | $1,244.33 | $1,244.33 | |
United
| Facility | $29,924.00 | $45,102.00 | $147,048.00 |
Ins/Rplcmnt Perm Subq Impltbl Dfb W/Subq Eltrd
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,614.00 | $4,201.00 | $4,975.00 | |
Kaiser Permanente
| Professional | $1,244.33 | $1,244.33 | $1,244.33 | |
United
| Facility | $29,924.00 | $45,102.00 | $147,048.00 |