| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,407.00 | $4,500.00 | $7,045.00 | |
Moda Health
| Facility | $120.64 | $210.31 | $269.55 | |
United
| Facility | $1,800.00 | $8,244.00 | $9,193.00 |
Epidermal Agrft F/S/N/H/F/G/M/D Gt Ea 100 Cm
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,407.00 | $4,500.00 | $7,045.00 | |
Moda Health
| Facility | $120.64 | $210.31 | $269.55 | |
United
| Facility | $1,800.00 | $8,244.00 | $9,193.00 |