| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
HealthNet
| Facility | $7,863.09 | $8,203.62 | $15,623.68 | |
Kaiser Permanente
| Facility | $118.50 | $195.00 | $315.00 |
Medical Surgical Supplies-Supplies
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
HealthNet
| Facility | $7,863.09 | $8,203.62 | $15,623.68 | |
Kaiser Permanente
| Facility | $118.50 | $195.00 | $315.00 |