| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,146.18 | $1,146.18 | $1,259.67 | |
Molina
| Professional | $30.00 | $45.00 | $816.94 |
Tissue Grafts, Other (Eg, Paratenon, Fat, Dermis)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,146.18 | $1,146.18 | $1,259.67 | |
Molina
| Professional | $30.00 | $45.00 | $816.94 |