| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $111.85 | $927.00 | $2,250.00 | |
BCBS
| Facility | $500.53 | $607.41 | $817.17 | |
United
| Facility | $241.00 | $850.00 | $1,323.00 |
Prep Site F/S/N/H/F/G/M/D Gt Addl 100 Sq Cm/1pct
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $111.85 | $927.00 | $2,250.00 | |
BCBS
| Facility | $500.53 | $607.41 | $817.17 | |
United
| Facility | $241.00 | $850.00 | $1,323.00 |