| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
HealthNet
| Facility | $1,621.81 | $3,467.37 | $35,481.34 | |
Kaiser Permanente
| Facility | $199.53 | $199.53 | $338.84 |
Medical/Surgical Supplies and Devices-General Classification
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
HealthNet
| Facility | $1,621.81 | $3,467.37 | $35,481.34 | |
Kaiser Permanente
| Facility | $199.53 | $199.53 | $338.84 |