| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $120.46 | $120.46 | $120.46 | |
Moda Health
| Facility | $98.50 | $137.90 | $140.86 | |
Providence
| Facility | $98.50 | $137.90 | $140.86 |
Rcm Celulr & Subcelulr Skn Imgng I&R 1st Les
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $120.46 | $120.46 | $120.46 | |
Moda Health
| Facility | $98.50 | $137.90 | $140.86 | |
Providence
| Facility | $98.50 | $137.90 | $140.86 |