| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $29.74 | $73.51 | $153.06 |
Kaiser Permanente
| Professional | 26 | $35.70 | $56.90 | $111.43 |
Rp Loclzj Tum Plnr 2+Area 1+D Img/1 Area Img>2+D
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $29.74 | $73.51 | $153.06 |
Kaiser Permanente
| Professional | 26 | $35.70 | $56.90 | $111.43 |