| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $81.48 | $103.93 | $111.83 | |
Cigna
| Professional | $109.85 | $785.24 | $785.24 | |
United
| Professional | $1,438.66 | $1,438.66 | $1,438.66 |
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 | $81.48 | $103.93 | $111.83 | |
Cigna
| Professional | $109.85 | $785.24 | $785.24 | |
United
| Professional | $1,438.66 | $1,438.66 | $1,438.66 |