| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $16.45 | $74.59 | $148.88 |
Kaiser Permanente
| Professional | 26 | $39.13 | $39.13 | $39.13 |
Mechanical Rmvl Intraluminal Obstr Matrl Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $16.45 | $74.59 | $148.88 |
Kaiser Permanente
| Professional | 26 | $39.13 | $39.13 | $39.13 |