| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $137.82 | $174.40 | $1,400.00 | |
CareSource
| Facility | $152.58 | $152.58 | $187.18 | |
Cigna
| Facility | $244.66 | $244.66 | $244.66 | |
United
| Facility | $460.00 | $460.00 | $460.00 |
Grafting Of Autologous Fat By Lipo Ea Addl 25 Cc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $137.82 | $174.40 | $1,400.00 | |
CareSource
| Facility | $152.58 | $152.58 | $187.18 | |
Cigna
| Facility | $244.66 | $244.66 | $244.66 | |
United
| Facility | $460.00 | $460.00 | $460.00 |