| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,148.15 | $1,148.15 | $1,258.93 | |
Molina
| Professional | $30.20 | $44.67 | $812.83 |
Tissue Grafts Other
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,148.15 | $1,148.15 | $1,258.93 | |
Molina
| Professional | $30.20 | $44.67 | $812.83 |