| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $358.00 | $358.00 | $358.00 | |
Emblem Health
| Professional | $25.00 | $25.00 | $25.00 |
Tensix Per Square Centimeter
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $358.00 | $358.00 | $358.00 | |
Emblem Health
| Professional | $25.00 | $25.00 | $25.00 |