| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $98.99 | $784.00 | $1,831.00 | |
United
| Facility | $225.00 | $513.00 | $1,581.00 |
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 | $98.99 | $784.00 | $1,831.00 | |
United
| Facility | $225.00 | $513.00 | $1,581.00 |