| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $117.38 | $117.38 | $273.16 |
Kaiser Permanente
| Professional | 26 | $62.95 | $73.44 | $458.87 |
Programmed Stimj & Pacg After Iv Drug Nfs
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $117.38 | $117.38 | $273.16 |
Kaiser Permanente
| Professional | 26 | $62.95 | $73.44 | $458.87 |