| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $450.26 | $748.12 | $1,120.33 |
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $450.26 | $748.12 | $1,120.33 |