| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $1,614.00 | $7,727.00 | |
Kaiser Permanente
| Professional | $2,426.88 | $2,426.88 | $2,426.88 | |
United
| Facility | $645.00 | $1,319.00 | $16,382.00 |
Plmt Prox Xtn Prosth Evasc Rpr Dta 1st Xtn
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $1,614.00 | $7,727.00 | |
Kaiser Permanente
| Professional | $2,426.88 | $2,426.88 | $2,426.88 | |
United
| Facility | $645.00 | $1,319.00 | $16,382.00 |