| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11,600.06 | $11,600.06 | $13,127.03 | |
Cigna
| Facility | $26,835.34 | $26,835.34 | $26,835.34 | |
Kaiser Permanente
| Professional | $575.67 | $742.63 | $1,244.33 |
Ins/Rplcmnt Perm Subq Impltbl Dfb W/Subq Eltrd
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11,600.06 | $11,600.06 | $13,127.03 | |
Cigna
| Facility | $26,835.34 | $26,835.34 | $26,835.34 | |
Kaiser Permanente
| Professional | $575.67 | $742.63 | $1,244.33 |