| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,476.08 | $6,476.08 | $6,476.08 | |
Kaiser Permanente
| Professional | $276.02 | $367.12 | $590.41 |
Abdl Lmphadec Reg Celiac Gstr Portal Pripncrtc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,476.08 | $6,476.08 | $6,476.08 | |
Kaiser Permanente
| Professional | $276.02 | $367.12 | $590.41 |