| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $15.98 | $15.98 | $15.98 |
Kaiser Permanente
| Professional | 26 | $18.14 | $23.27 | $39.13 |
Mechanical Rmvl Intraluminal Obstr Matrl Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $15.98 | $15.98 | $15.98 |
Kaiser Permanente
| Professional | 26 | $18.14 | $23.27 | $39.13 |