| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,407.00 | $4,500.00 | $7,045.00 | |
Moda Health
| Facility | $85.38 | $143.60 | $195.57 | |
United
| Facility | $1,800.00 | $8,244.00 | $9,193.00 |
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 | $1,407.00 | $4,500.00 | $7,045.00 | |
Moda Health
| Facility | $85.38 | $143.60 | $195.57 | |
United
| Facility | $1,800.00 | $8,244.00 | $9,193.00 |