| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,344.60 | $1,344.60 | $1,377.00 | |
Cigna
| Professional | $1,377.00 | $1,377.00 | $1,377.00 | |
United
| Professional | $1,301.51 | $1,350.00 | $2,025.00 |
InnovaMatrix FS, 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 | $1,344.60 | $1,344.60 | $1,377.00 | |
Cigna
| Professional | $1,377.00 | $1,377.00 | $1,377.00 | |
United
| Professional | $1,301.51 | $1,350.00 | $2,025.00 |