| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.25 | $45.25 | $45.25 | |
Medcost
| Facility | $40.25 | $51.86 | $54.30 |
Rcm Celulr & Subcelulr Skn Imgng I&R 1st Les
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.25 | $45.25 | $45.25 | |
Medcost
| Facility | $40.25 | $51.86 | $54.30 |