| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $962.66 | $962.66 | $2,300.00 | |
CareSource
| Facility | $979.75 | $1,175.70 | $1,280.95 | |
Cigna
| Facility | $1,141.25 | $1,141.25 | $1,141.25 |
Graft for facial nerve paralysis; free fascia graft (including obtaining fascia)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $962.66 | $962.66 | $2,300.00 | |
CareSource
| Facility | $979.75 | $1,175.70 | $1,280.95 | |
Cigna
| Facility | $1,141.25 | $1,141.25 | $1,141.25 |