| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,818.38 | $5,888.44 | $10,715.19 | |
Horizon BCBS
| Facility | $4,073.80 | $5,888.44 | $9,549.93 | |
United
| Facility | $2,570.40 | $5,128.61 | $8,709.64 |
Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); over 30.0 cm
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,818.38 | $5,888.44 | $10,715.19 | |
Horizon BCBS
| Facility | $4,073.80 | $5,888.44 | $9,549.93 | |
United
| Facility | $2,570.40 | $5,128.61 | $8,709.64 |