| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $87.10 | $3,388.44 | $6,025.60 | |
U of Utah Health Plan
| Professional | $93.33 | $117.49 | $169.82 | |
United
| Facility | $1,698.24 | $4,466.84 | $5,128.61 |
Escharotomy; each additional incision (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $87.10 | $3,388.44 | $6,025.60 | |
U of Utah Health Plan
| Professional | $93.33 | $117.49 | $169.82 | |
United
| Facility | $1,698.24 | $4,466.84 | $5,128.61 |