| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $4,100.00 | $6,456.00 | |
Kaiser Permanente
| Professional | $1,021.49 | $1,021.49 | $1,021.49 | |
United
| Facility | $2,648.00 | $3,378.00 | $26,408.00 |
Ligj Divj&Strip Long Saph Saphfem Junct Kne/Belw
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $4,100.00 | $6,456.00 | |
Kaiser Permanente
| Professional | $1,021.49 | $1,021.49 | $1,021.49 | |
United
| Facility | $2,648.00 | $3,378.00 | $26,408.00 |