| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.24 | $25.00 | $25.00 | |
Aetna
| Professional | $5.66 | $5.66 | $25.00 | |
Moda Health
| Facility | $5.66 | $5.66 | $7.24 | |
Molina
| Professional | $30.00 | $55.00 | $3,500.00 |
Strattice Tm Per Square Centimeter
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.24 | $25.00 | $25.00 | |
Aetna
| Professional | $5.66 | $5.66 | $25.00 | |
Moda Health
| Facility | $5.66 | $5.66 | $7.24 | |
Molina
| Professional | $30.00 | $55.00 | $3,500.00 |