| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $34.65 | $35.70 | $2,673.50 | |
Cigna
| Professional | $125.40 | $125.40 | $125.40 | |
Medcost
| Facility | $34.65 | $34.65 | $39.85 | |
Wellcare
| Facility | $100.00 | $100.00 | $100.00 |
Skin substitute, not otherwise specified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $34.65 | $35.70 | $2,673.50 | |
Cigna
| Professional | $125.40 | $125.40 | $125.40 | |
Medcost
| Facility | $34.65 | $34.65 | $39.85 | |
Wellcare
| Facility | $100.00 | $100.00 | $100.00 |