| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.56 | $35.56 | $35.56 | |
Providence
| Facility | $41.68 | $62.78 | $72.06 |
Rcm Celulr & Subcelulr Skn Imgng I&R 1st Les
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.56 | $35.56 | $35.56 | |
Providence
| Facility | $41.68 | $62.78 | $72.06 |