| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $118.24 | $1,793.00 | $4,100.00 | |
Kaiser Permanente
| Professional | $137.91 | $265.52 | $316.18 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 |
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 | $118.24 | $1,793.00 | $4,100.00 | |
Kaiser Permanente
| Professional | $137.91 | $265.52 | $316.18 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 |