| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.44 | $392.43 | $8,500.00 | |
Medica
| Facility | $43.44 | $345.30 | $667.13 |
Plmt Sft Tiss Loclzj Dev Perq Each Addl Lesion
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.44 | $392.43 | $8,500.00 | |
Medica
| Facility | $43.44 | $345.30 | $667.13 |