| 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 | $962.99 | $1,242.26 | $2,056.98 |
Thrmbc Artl/Ven Grf Xcp Hemo Grf/Fstl W/Revj Grf
| 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 | $962.99 | $1,242.26 | $2,056.98 |