| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,111.24 | $6,667.00 | $11,557.00 | |
Horizon BCBS
| Facility | $4,024.24 | $4,075.77 | $8,481.31 | |
United
| Facility | $3,705.00 | $5,265.00 | $10,536.00 |
Exc Sac Pr Ulc Prepj Musc/Myoq Flap/Skn Grf Clsr
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,111.24 | $6,667.00 | $11,557.00 | |
Horizon BCBS
| Facility | $4,024.24 | $4,075.77 | $8,481.31 | |
United
| Facility | $3,705.00 | $5,265.00 | $10,536.00 |