| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $66.88 | $78.83 | $562.95 | |
Cigna
| Professional | $785.24 | $785.24 | $785.24 | |
United
| Professional | $1,222.85 | $1,438.66 | $3,165.05 |
Phoenix 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 | $66.88 | $78.83 | $562.95 | |
Cigna
| Professional | $785.24 | $785.24 | $785.24 | |
United
| Professional | $1,222.85 | $1,438.66 | $3,165.05 |