| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $5,223.10 | $5,223.10 | $5,223.10 | |
Medcost
| Professional | $1,514.00 | $2,074.01 | $3,598.00 |
Trnsxj/Lig Crtd Art Petrous Canal Rpr Anast/Grf
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $5,223.10 | $5,223.10 | $5,223.10 | |
Medcost
| Professional | $1,514.00 | $2,074.01 | $3,598.00 |