| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,153.91 | $1,153.91 | $2,000.00 | |
Medica
| Professional | $192.50 | $192.50 | $192.50 |
Unlisted procedure, skin, mucous membrane and subcutaneous tissue
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,153.91 | $1,153.91 | $2,000.00 | |
Medica
| Professional | $192.50 | $192.50 | $192.50 |