| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $2,452.73 | $3,549.39 | $6,139.22 | |
Medica
| Facility | $100.00 | $100.00 | $100.00 |
Suprathel, Per Sq Cm
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $2,452.73 | $3,549.39 | $6,139.22 | |
Medica
| Facility | $100.00 | $100.00 | $100.00 |