| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $134.90 | $134.90 | $134.90 | |
Molina
| Professional | $44.67 | $44.67 | $44.67 |
Skin substitute, not otherwise specified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $134.90 | $134.90 | $134.90 | |
Molina
| Professional | $44.67 | $44.67 | $44.67 |