| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $1,274.49 | $1,448.18 | $1,974.80 | |
United
| Facility | $413.00 | $413.00 | $413.00 |
Litt Les Icr Single Trajectory 1 Simple Lesion
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $1,274.49 | $1,448.18 | $1,974.80 | |
United
| Facility | $413.00 | $413.00 | $413.00 |