| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.65 | $34.65 | $34.65 | |
Aetna
| Professional | $34.65 | $147.40 | $147.40 | |
Cigna
| Professional | $125.40 | $125.40 | $125.40 |
Skin Substitute, Nos
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.65 | $34.65 | $34.65 | |
Aetna
| Professional | $34.65 | $147.40 | $147.40 | |
Cigna
| Professional | $125.40 | $125.40 | $125.40 |