| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $446.84 | $451.01 | $505.29 | |
Sanford Health Plan
| Professional | $150.00 | $150.00 | $150.00 |
Unlisted special dermatological service or procedure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $446.84 | $451.01 | $505.29 | |
Sanford Health Plan
| Professional | $150.00 | $150.00 | $150.00 |