| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $353.00 | $353.00 | $371.00 | |
United
| Facility | $150.00 | $150.00 | $150.00 |
Low Cost Skin Substitute App
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $353.00 | $353.00 | $371.00 | |
United
| Facility | $150.00 | $150.00 | $150.00 |