| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $295.95 | $527.29 | $8,500.00 | |
Medica
| Facility | $295.95 | $527.29 | $896.41 |
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $295.95 | $527.29 | $8,500.00 | |
Medica
| Facility | $295.95 | $527.29 | $896.41 |