| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.38 | $19.38 | $19.38 | |
Aetna
| Professional | $18.47 | $19.38 | $19.38 | |
Cigna
| Facility | $19.38 | $19.38 | $19.38 | |
Cigna
| Professional | $19.38 | $19.38 | $30.63 |
Acellular pericardial tissue matrix of nonhuman origin (Veritas), per sq cm
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.38 | $19.38 | $19.38 | |
Aetna
| Professional | $18.47 | $19.38 | $19.38 | |
Cigna
| Facility | $19.38 | $19.38 | $19.38 | |
Cigna
| Professional | $19.38 | $19.38 | $30.63 |