| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $445.00 | $453.73 | $13,870.91 | |
Kaiser Permanente
| Professional | $327.45 | $428.93 | $557.63 | |
United
| Facility | $847.00 | $847.00 | $1,560.00 |
Impltj/Rplcmt Ithcl/Edrl Drug Nfs Subq Rsvr
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $445.00 | $453.73 | $13,870.91 | |
Kaiser Permanente
| Professional | $327.45 | $428.93 | $557.63 | |
United
| Facility | $847.00 | $847.00 | $1,560.00 |