| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $586.96 | $586.96 | $1,400.00 | |
CareSource
| Facility | $586.99 | $670.21 | $730.20 | |
Cigna
| Facility | $633.14 | $633.14 | $633.14 | |
Cigna
| Facility | AS | $62.04 | $62.04 | $62.04 |
Excision of infected graft; extremity
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $586.96 | $586.96 | $1,400.00 | |
CareSource
| Facility | $586.99 | $670.21 | $730.20 | |
Cigna
| Facility | $633.14 | $633.14 | $633.14 | |
Cigna
| Facility | AS | $62.04 | $62.04 | $62.04 |