| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $378.04 | $2,080.00 | $4,601.00 | |
Kaiser Permanente
| Professional | $295.81 | $342.52 | $667.52 | |
United
| Facility | $1,832.00 | $2,343.00 | $26,408.00 |
Rpr Lac Cjnc W/Wo Nonperfor Lac Sclera Dir Clsr
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $378.04 | $2,080.00 | $4,601.00 | |
Kaiser Permanente
| Professional | $295.81 | $342.52 | $667.52 | |
United
| Facility | $1,832.00 | $2,343.00 | $26,408.00 |