| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $779.75 | $1,342.00 | $3,109.00 | |
United
| Facility | $375.00 | $1,056.00 | $2,558.00 |
Dbrdmt Skn Subq T/M/F Necro Infctj Gent Per&Abdl
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $779.75 | $1,342.00 | $3,109.00 | |
United
| Facility | $375.00 | $1,056.00 | $2,558.00 |