| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $3,999.00 | $6,456.00 | |
Kaiser Permanente
| Professional | $806.37 | $1,604.11 | $1,604.11 | |
United
| Facility | $3,261.00 | $4,165.00 | $26,408.00 |
Rplcmt Irrigation/Revj Lumbosarach Shunt
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $3,999.00 | $6,456.00 | |
Kaiser Permanente
| Professional | $806.37 | $1,604.11 | $1,604.11 | |
United
| Facility | $3,261.00 | $4,165.00 | $26,408.00 |