| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $157.68 | $4,228.00 | $8,031.00 | |
Anthem BCBS
| Facility | $3,315.00 | $3,788.00 | $4,735.00 | |
United
| Facility | $1,347.00 | $3,983.00 | $6,832.00 |
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 | $157.68 | $4,228.00 | $8,031.00 | |
Anthem BCBS
| Facility | $3,315.00 | $3,788.00 | $4,735.00 | |
United
| Facility | $1,347.00 | $3,983.00 | $6,832.00 |