| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $2,080.00 | $7,727.00 | |
Kaiser Permanente
| Professional | $3,198.12 | $6,676.83 | $6,676.83 | |
United
| Facility | $645.00 | $1,319.00 | $16,382.00 |
Rescj/Exc Les Itprl Fossa Space Apex Idrl W/Rpr
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $2,080.00 | $7,727.00 | |
Kaiser Permanente
| Professional | $3,198.12 | $6,676.83 | $6,676.83 | |
United
| Facility | $645.00 | $1,319.00 | $16,382.00 |