| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $212.43 | $1,614.00 | $7,727.00 | |
Kaiser Permanente
| Professional | $224.14 | $468.05 | $468.05 | |
United
| Facility | $645.00 | $1,319.00 | $16,382.00 |
Thorcom Thrc W/Medstnl & Regional Lmphadec
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $212.43 | $1,614.00 | $7,727.00 | |
Kaiser Permanente
| Professional | $224.14 | $468.05 | $468.05 | |
United
| Facility | $645.00 | $1,319.00 | $16,382.00 |