| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.59 | $38.59 | $38.59 | |
Cigna
| Professional | $125.40 | $125.40 | $125.40 | |
Medica
| Facility | $85.00 | $100.00 | $147.40 |
Skin Substitute, Nos
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.59 | $38.59 | $38.59 | |
Cigna
| Professional | $125.40 | $125.40 | $125.40 | |
Medica
| Facility | $85.00 | $100.00 | $147.40 |