| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $912.01 | $912.01 | $1,148.15 | |
Medica
| Facility | $1,148.15 | $8,128.31 | $8,128.31 | |
Medica
| Professional | $794.33 | $2,630.27 | $2,630.27 |
Tissue Grafts Other
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $912.01 | $912.01 | $1,148.15 | |
Medica
| Facility | $1,148.15 | $8,128.31 | $8,128.31 | |
Medica
| Professional | $794.33 | $2,630.27 | $2,630.27 |