| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $972.57 | $2,778.87 | $3,955.04 | |
United
| Facility | $540.00 | $1,401.00 | $4,915.00 |
Drs&/Dbrdmt Prtl-Thkns Burns 1st/Sbsq Large
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $972.57 | $2,778.87 | $3,955.04 | |
United
| Facility | $540.00 | $1,401.00 | $4,915.00 |