| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $806.85 | $5,000.27 | $7,838.38 | |
Providence
| Facility | $630.91 | $1,016.10 | $1,225.33 | |
United
| Facility | $559.00 | $3,503.00 | $5,060.00 |
Epidrm Agrft T/A/L 1st 100 Cm/&/1% Bdy Inft/Chld
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $806.85 | $5,000.27 | $7,838.38 | |
Providence
| Facility | $630.91 | $1,016.10 | $1,225.33 | |
United
| Facility | $559.00 | $3,503.00 | $5,060.00 |