| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.66 | $5.66 | $5.66 | |
Aetna
| Professional | $5.66 | $5.66 | $25.00 | |
Medica
| Facility | $9.57 | $42.25 | $85.46 | |
Midlands
| Professional | $37.27 | $37.27 | $37.27 |
Strattice Tm Per Square Centimeter
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.66 | $5.66 | $5.66 | |
Aetna
| Professional | $5.66 | $5.66 | $25.00 | |
Medica
| Facility | $9.57 | $42.25 | $85.46 | |
Midlands
| Professional | $37.27 | $37.27 | $37.27 |