| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $961.79 | $14,143.70 | $17,520.30 | |
Cigna
| Facility | $3,173.57 | $3,173.57 | $3,173.57 | |
Kaiser Permanente
| Professional | $827.05 | $1,066.89 | $1,774.04 |
Revj Opn Arven Fstl W/Thrmbc Dial Grf
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $961.79 | $14,143.70 | $17,520.30 | |
Cigna
| Facility | $3,173.57 | $3,173.57 | $3,173.57 | |
Kaiser Permanente
| Professional | $827.05 | $1,066.89 | $1,774.04 |