| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $113.13 | $2,080.00 | $7,727.00 | |
Kaiser Permanente
| Professional | $133.75 | $255.84 | $304.63 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 |
Epidrm Agrft T/A/L Ea 100 Cm/Ea 1% Bdy Inft/Chld
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $113.13 | $2,080.00 | $7,727.00 | |
Kaiser Permanente
| Professional | $133.75 | $255.84 | $304.63 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 |