| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $129.68 | $1,172.00 | $3,500.00 | |
BCBS
| Facility | $829.71 | $1,183.39 | $1,662.27 | |
Christus
| Facility | $40.00 | $40.00 | $40.00 | |
United
| Facility | $194.00 | $513.00 | $1,226.00 |
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 | $129.68 | $1,172.00 | $3,500.00 | |
BCBS
| Facility | $829.71 | $1,183.39 | $1,662.27 | |
Christus
| Facility | $40.00 | $40.00 | $40.00 | |
United
| Facility | $194.00 | $513.00 | $1,226.00 |