| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $4.09 | $4.09 | $4.09 | |
Molina
| Professional | $30.00 | $30.00 | $100.00 |
Suprathel, Per Sq Cm
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $4.09 | $4.09 | $4.09 | |
Molina
| Professional | $30.00 | $30.00 | $100.00 |