| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $69.90 | $85.70 | $116.87 | |
United
| Facility | $1,009.00 | $1,009.00 | $1,009.00 |
Lmtd Oph Xm&Eval General Anes W/Wo Mnpj Globe
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $69.90 | $85.70 | $116.87 | |
United
| Facility | $1,009.00 | $1,009.00 | $1,009.00 |