| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $57.45 | $57.45 | $200.02 |
Kaiser Permanente
| Professional | 26 | $55.90 | $81.78 | $132.25 |
Programmed Stimj & Pacg After Iv Drug Nfs
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $57.45 | $57.45 | $200.02 |
Kaiser Permanente
| Professional | 26 | $55.90 | $81.78 | $132.25 |