| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $507.00 | $507.00 | $641.21 | |
Kaiser Permanente
| Professional | $301.20 | $399.02 | $608.88 | |
United
| Facility | $173.00 | $173.00 | $471.00 |
Vcrpec Lat Xtrcavitary Dcmprn Thrc/Lmbr Ea Seg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $507.00 | $507.00 | $641.21 | |
Kaiser Permanente
| Professional | $301.20 | $399.02 | $608.88 | |
United
| Facility | $173.00 | $173.00 | $471.00 |