| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $641.21 | $641.21 | $1,335.00 | |
Kaiser Permanente
| Professional | $1,558.10 | $2,053.71 | $2,624.16 | |
United
| Facility | $1,003.00 | $1,003.00 | $2,156.00 |
Lam Exc/Evac Ispi Les Oth/Thn Neo Xdrl Sacral
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $641.21 | $641.21 | $1,335.00 | |
Kaiser Permanente
| Professional | $1,558.10 | $2,053.71 | $2,624.16 | |
United
| Facility | $1,003.00 | $1,003.00 | $2,156.00 |