| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $9.74 | $9.74 | $34.65 | |
Cigna
| Professional | $125.40 | $125.40 | $125.40 | |
Moda Health
| Facility | $34.65 | $34.65 | $34.65 | |
Molina
| Professional | $30.00 | $78.00 | $3,900.00 |
Skin substitute, not otherwise specified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $9.74 | $9.74 | $34.65 | |
Cigna
| Professional | $125.40 | $125.40 | $125.40 | |
Moda Health
| Facility | $34.65 | $34.65 | $34.65 | |
Molina
| Professional | $30.00 | $78.00 | $3,900.00 |