| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $118.82 | $242.38 | $1,600.00 | |
CareSource
| Facility | $124.60 | $149.52 | $162.90 | |
Cigna
| Facility | $213.81 | $213.81 | $213.81 |
Harvest of skin for tissue cultured skin autograft, 100 sq cm or less
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $118.82 | $242.38 | $1,600.00 | |
CareSource
| Facility | $124.60 | $149.52 | $162.90 | |
Cigna
| Facility | $213.81 | $213.81 | $213.81 |