| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $76.76 | $122.48 | $122.48 | |
Cigna
| Professional | $51.96 | $61.40 | $118.76 | |
United
| Professional | $45.98 | $82.86 | $265.89 |
Photochemotherapy; tar and ultraviolet B (Goeckerman treatment) or petrolatum and ultraviolet B
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $76.76 | $122.48 | $122.48 | |
Cigna
| Professional | $51.96 | $61.40 | $118.76 | |
United
| Professional | $45.98 | $82.86 | $265.89 |