| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,153.49 | $7,278.00 | $9,719.00 | |
Kaiser Permanente
| Professional | $2,056.98 | $2,056.98 | $2,056.98 | |
United
| Facility | $4,062.00 | $5,185.00 | $19,046.00 |
Thrmbc Artl/Ven Grf Xcp Hemo Grf/Fstl W/Revj Grf
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,153.49 | $7,278.00 | $9,719.00 | |
Kaiser Permanente
| Professional | $2,056.98 | $2,056.98 | $2,056.98 | |
United
| Facility | $4,062.00 | $5,185.00 | $19,046.00 |