| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.66 | $13.69 | $8,822.50 | |
Aetna
| Professional | $5.66 | $5.66 | $5.66 |
Strattice Tm Per Square Centimeter
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.66 | $13.69 | $8,822.50 | |
Aetna
| Professional | $5.66 | $5.66 | $5.66 |