| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $143.91 | $2,080.00 | $4,100.00 | |
Kaiser Permanente
| Professional | $187.54 | $315.77 | $315.77 | |
United
| Facility | $665.00 | $762.00 | $6,342.00 |
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $143.91 | $2,080.00 | $4,100.00 | |
Kaiser Permanente
| Professional | $187.54 | $315.77 | $315.77 | |
United
| Facility | $665.00 | $762.00 | $6,342.00 |