| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $68.48 | $68.48 | $68.48 | |
Cigna
| Facility | $68.48 | $68.48 | $68.48 | |
Cigna
| Professional | $68.48 | $68.48 | $68.48 | |
United
| Professional | $53.26 | $68.48 | $150.68 |
Talymed, per sq cm (add-on, list separately in addition to primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $68.48 | $68.48 | $68.48 | |
Cigna
| Facility | $68.48 | $68.48 | $68.48 | |
Cigna
| Professional | $68.48 | $68.48 | $68.48 | |
United
| Professional | $53.26 | $68.48 | $150.68 |