| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,153.95 | $1,153.95 | $1,700.00 | |
CareSource
| Facility | $1,279.47 | $1,427.26 | $1,555.01 | |
Cigna
| Facility | $1,369.63 | $1,369.63 | $1,369.63 |
Musc Myocutaneous/Fasciocutaneous Flap Uxtr
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,153.95 | $1,153.95 | $1,700.00 | |
CareSource
| Facility | $1,279.47 | $1,427.26 | $1,555.01 | |
Cigna
| Facility | $1,369.63 | $1,369.63 | $1,369.63 |