| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $7,278.00 | $9,719.00 | |
Kaiser Permanente
| Professional | $1,298.75 | $1,298.75 | $1,298.75 | |
United
| Facility | $4,062.00 | $5,185.00 | $19,046.00 |
Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $7,278.00 | $9,719.00 | |
Kaiser Permanente
| Professional | $1,298.75 | $1,298.75 | $1,298.75 | |
United
| Facility | $4,062.00 | $5,185.00 | $19,046.00 |