| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40,541.01 | $40,541.01 | $40,541.01 | |
Cigna
| Professional | $125.40 | $125.40 | $125.40 | |
Medica
| Facility | $100.00 | $248.07 | $248.07 |
Skin Substitute, Nos
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40,541.01 | $40,541.01 | $40,541.01 | |
Cigna
| Professional | $125.40 | $125.40 | $125.40 | |
Medica
| Facility | $100.00 | $248.07 | $248.07 |