| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 50 | $15,914.75 | $15,914.75 | $15,914.75 |
Kaiser Permanente
| Professional | $1,636.75 | $2,111.41 | $3,430.58 |
Strtctc Impltj Nstim Eltrd W/O Record 1st Array
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 50 | $15,914.75 | $15,914.75 | $15,914.75 |
Kaiser Permanente
| Professional | $1,636.75 | $2,111.41 | $3,430.58 |