| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $880.78 | $1,614.00 | $7,727.00 | |
Kaiser Permanente
| Professional | $1,574.85 | $1,574.85 | $1,574.85 | |
United
| Facility | $645.00 | $1,319.00 | $16,382.00 |
Rmvl I-Aort Balo Asst Dev W/Rpr Fem Art W/Wo Grf
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $880.78 | $1,614.00 | $7,727.00 | |
Kaiser Permanente
| Professional | $1,574.85 | $1,574.85 | $1,574.85 | |
United
| Facility | $645.00 | $1,319.00 | $16,382.00 |