| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $47,000.00 | $77,999.99 | $94,999.99 | |
Cigna
| Facility | $1,129.42 | $1,129.42 | $1,129.42 | |
Providence
| Facility | $628.07 | $835.82 | $1,678.79 |
Epidermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $47,000.00 | $77,999.99 | $94,999.99 | |
Cigna
| Facility | $1,129.42 | $1,129.42 | $1,129.42 | |
Providence
| Facility | $628.07 | $835.82 | $1,678.79 |