| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $5,076.00 | $6,945.00 | |
Kaiser Permanente
| Professional | $1,745.70 | $1,745.70 | $1,745.70 | |
United
| Facility | $4,062.00 | $5,185.00 | $19,046.00 |
Crtj Arven Fstl Xcp Dir Arven Anast Autog Grf
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $5,076.00 | $6,945.00 | |
Kaiser Permanente
| Professional | $1,745.70 | $1,745.70 | $1,745.70 | |
United
| Facility | $4,062.00 | $5,185.00 | $19,046.00 |