| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $80.26 | $80.26 | $80.26 |
Kaiser Permanente
| Professional | 26 | $93.42 | $118.46 | $190.77 |
Us Cmprn Rpr Artl Pseudoarysm/Arven Fstl
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $80.26 | $80.26 | $80.26 |
Kaiser Permanente
| Professional | 26 | $93.42 | $118.46 | $190.77 |