| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $93.33 | $123.03 | $173.78 | |
Cigna
| Professional | $147.91 | $147.91 | $302.00 | |
United
| Professional | $120.23 | $125.89 | $281.84 |
Mirragen Advanced Wound Matrix, per sq cm (add-on, list separately in addition to primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $93.33 | $123.03 | $173.78 | |
Cigna
| Professional | $147.91 | $147.91 | $302.00 | |
United
| Professional | $120.23 | $125.89 | $281.84 |