| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,353.60 | $5,353.60 | $5,353.60 | |
Cigna
| Facility | $1,675.27 | $1,675.27 | $1,675.27 | |
Kaiser Permanente
| Professional | $473.16 | $610.38 | $1,021.49 |
Ligj Divj&Strip Long Saph Saphfem Junct Kne/Belw
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,353.60 | $5,353.60 | $5,353.60 | |
Cigna
| Facility | $1,675.27 | $1,675.27 | $1,675.27 | |
Kaiser Permanente
| Professional | $473.16 | $610.38 | $1,021.49 |