| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,747.00 | $2,747.00 | $2,747.00 | |
Kaiser Permanente
| Professional | $286.43 | $312.47 | $364.55 | |
United
| Facility | $2,446.00 | $2,446.00 | $2,446.00 |
Strtctc Impltj Nstim Eltrd W/O Record Ea Array
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,747.00 | $2,747.00 | $2,747.00 | |
Kaiser Permanente
| Professional | $286.43 | $312.47 | $364.55 | |
United
| Facility | $2,446.00 | $2,446.00 | $2,446.00 |