| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,090.73 | $2,778.87 | $3,955.04 | |
United
| Facility | $1,812.00 | $4,049.00 | $5,510.00 |
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 | $2,090.73 | $2,778.87 | $3,955.04 | |
United
| Facility | $1,812.00 | $4,049.00 | $5,510.00 |