| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,480.00 | $2,480.00 | $2,480.00 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $0.02 | |
Kaiser Permanente
| Professional | $98.34 | $98.34 | $100.00 |
Restorigin, 1 cc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,480.00 | $2,480.00 | $2,480.00 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $0.02 | |
Kaiser Permanente
| Professional | $98.34 | $98.34 | $100.00 |