| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,575.36 | $2,575.36 | $2,575.36 | |
Kaiser Permanente
| Professional | $2,019.63 | $2,670.35 | $4,416.41 |
Expl Po Hemrrg Thrombosis/Infctj Ch
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,575.36 | $2,575.36 | $2,575.36 | |
Kaiser Permanente
| Professional | $2,019.63 | $2,670.35 | $4,416.41 |