| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $314.50 | $453.32 | $1,600.00 | |
CareSource
| Facility | $324.14 | $388.98 | $423.79 | |
Cigna
| Facility | $555.04 | $555.04 | $555.04 |
Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); over 30.0 cm
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $314.50 | $453.32 | $1,600.00 | |
CareSource
| Facility | $324.14 | $388.98 | $423.79 | |
Cigna
| Facility | $555.04 | $555.04 | $555.04 |