| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $34.65 | $249.50 | $249.50 | |
Cigna
| Professional | $125.40 | $125.40 | $125.40 | |
Martin's Point
| Professional | $34.65 | $249.50 | $249.50 |
Skin Substitute, Nos
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $34.65 | $249.50 | $249.50 | |
Cigna
| Professional | $125.40 | $125.40 | $125.40 | |
Martin's Point
| Professional | $34.65 | $249.50 | $249.50 |