| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $376.00 | $516.15 | $867.13 | |
Kaiser Permanente
| Professional | $110.48 | $139.55 | $235.48 | |
United
| Facility | $418.00 | $453.00 | $1,330.00 |
Sgmdsc Flx W/Dcmprn W/Plmt Dcmprn Tube
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $376.00 | $516.15 | $867.13 | |
Kaiser Permanente
| Professional | $110.48 | $139.55 | $235.48 | |
United
| Facility | $418.00 | $453.00 | $1,330.00 |