| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,614.00 | $7,278.00 | $9,719.00 | |
Kaiser Permanente
| Professional | $1,358.17 | $1,358.17 | $1,358.17 | |
United
| Facility | $4,062.00 | $10,811.40 | $41,544.00 |
Thrmbc Opn Arven Fstl W/O Revj Dial Grf
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,614.00 | $7,278.00 | $9,719.00 | |
Kaiser Permanente
| Professional | $1,358.17 | $1,358.17 | $1,358.17 | |
United
| Facility | $4,062.00 | $10,811.40 | $41,544.00 |