| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $108.03 | $108.03 | $108.03 | |
Aetna
| Professional | $35.70 | $35.70 | $35.70 | |
Cigna
| Professional | $125.40 | $125.40 | $125.40 | |
Medica
| Facility | $100.00 | $100.00 | $100.00 |
Skin Substitute, Nos
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $108.03 | $108.03 | $108.03 | |
Aetna
| Professional | $35.70 | $35.70 | $35.70 | |
Cigna
| Professional | $125.40 | $125.40 | $125.40 | |
Medica
| Facility | $100.00 | $100.00 | $100.00 |