| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $4,100.00 | $16,451.75 | |
Kaiser Permanente
| Professional | $1,685.05 | $3,338.00 | $3,686.99 | |
United
| Facility | $645.00 | $1,319.00 | $16,382.00 |
Revj Gstr/Jj Anast W/Rcnstj W/O Vgtmy
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $4,100.00 | $16,451.75 | |
Kaiser Permanente
| Professional | $1,685.05 | $3,338.00 | $3,686.99 | |
United
| Facility | $645.00 | $1,319.00 | $16,382.00 |