| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $4,168.69 | $4,168.69 | $4,168.69 |
Insj Graft Aorta/Great Vessel W/Shun
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $4,168.69 | $4,168.69 | $4,168.69 |