| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $950.00 | $2,486.21 | $3,595.00 | |
Anthem BCBS
| Facility | $261.00 | $723.81 | $1,015.08 | |
Kaiser Permanente
| Facility | $100.00 | $14,917.00 | $114,437.00 |
Loa/Reserved
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $950.00 | $2,486.21 | $3,595.00 | |
Anthem BCBS
| Facility | $261.00 | $723.81 | $1,015.08 | |
Kaiser Permanente
| Facility | $100.00 | $14,917.00 | $114,437.00 |