| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $107.73 | $803.00 | $2,812.00 | |
Cigna
| Facility | $447.90 | $447.90 | $447.90 | |
United
| Facility | $130.00 | $337.00 | $768.00 |
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 | $107.73 | $803.00 | $2,812.00 | |
Cigna
| Facility | $447.90 | $447.90 | $447.90 | |
United
| Facility | $130.00 | $337.00 | $768.00 |