| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $3,173.57 | $3,173.57 | $3,173.57 | |
Kaiser Permanente
| Professional | $604.79 | $780.19 | $1,298.75 |
Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $3,173.57 | $3,173.57 | $3,173.57 | |
Kaiser Permanente
| Professional | $604.79 | $780.19 | $1,298.75 |