| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.20 | $30.20 | $1,348.96 | |
Cigna
| Facility | $28.84 | $30.20 | $30.20 | |
Cigna
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Professional | $45.71 | $53.70 | $125.89 |
Apligraf, per sq cm (add-on, list separately in addition to primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.20 | $30.20 | $1,348.96 | |
Cigna
| Facility | $28.84 | $30.20 | $30.20 | |
Cigna
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Professional | $45.71 | $53.70 | $125.89 |